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NO NlATERIALS <br /> Page 1 <br /> Work Activity Work Order , ,,Ze�Zol, ,:49 <br /> ISSUed By AGA AHLES,GREGORY A. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued �nsizott Function tos Activity s�a <br /> Fund ao� Account s Program no <br /> Prouram <br /> TillO REPAIR 6573 ELLIOTT WAY 710109674 <br /> 20111044 Pro ect Activity Type SERVICE REQUEST StetUS CL <br /> Work Order No � <br /> Status �itsn�t� Time t5:zs Original WO Billing <br /> Customer Information Customer ld <br /> Customer Name YARNELL,DENNIS <br /> Address Street <br /> Apariment No ��ry <br /> State Z�p <br /> Subdivision Change Map YIN <br /> Phone No ( azs ) z�o•3ooa Ext _ <br /> Second Phone ( 1 - Ext <br /> E-Mail Address ----- —- <br /> Problem Information <br /> Address 6513 Street ELLIOTT WAY <br /> From Cross Street <br /> To Cross Street Zip <br /> City Ma Book Map Reference <br /> Subdivision P <br /> Problem SEWER SEWER <br /> Sub Problem MAIN MAINS Date Re uested env2ott <br /> Requested By HSR HOFFMAN,STEVEN R. R218IBd ReGU05I 0009930J <br /> Agency <br /> Initiated From INTER INTERNAL <br /> Utility Locate(USA) No »>Q�oss Called Date Expiration Date <br /> Assignment Information <br /> Dept Pw PueuC woRKs Priority Estimated Hours <br /> CfBW SCONST SEWER CONSTRUCTION(AHLES) <br /> Contractor <br /> />ssigned To oas OLHAVA,BRAD S. <br /> Assigned By A�A AHLES,GREGORY A. <br /> Assigned Date ____ To Be Comp Date __ <br /> Scheduled Date __ Scheduled Time _____ <br /> Route Route Sequence <br /> Comments <br /> Action Taken EXCAVATED HOLE.FOUND ROTTING WOOD. <br /> RCCOf171T10f1dBd ACtlOtl EXCAVATE CAVE•IN AND REPA�R PROBLEM <br /> Approved By oes o�HAvn,eRn�s. Job Cost Information(YIN) <br /> Time Date Completed tonaizo�t Permit No <br /> Start Date i � -- <br /> - Time __ Follow Up?_ <br /> Completed By _ _ _ _ O <br /> ------ - y3 <br />