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Work Activity Work Order page � <br /> 11/22/�010 13:25 <br /> Issued By AGA AHLES,GREGORY A. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued 91912010 <br /> Fund aot Account s Program �to Function �oe Activity e�s <br /> Program <br /> Title REPLACE 4828 ELM ST 710109675 <br /> W ork Order No 20102401 Project Activity Type SERVICE RE�UEST Status c� <br /> Status si9izo�o Time is:ae Original WO Billing <br /> Customer Information <br /> Customer Name WITHERS,MARLENE Customer ld <br /> /lddress Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( <2s 1 sae-sesa Ext <br /> Second Phone ( 1 - Ext <br /> E-Maii Addres� <br /> Problem Information <br /> Address qgpg Street ELM S1" <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem SEWER SEWER <br /> Sub Problem SS SIDE SEWER <br /> Requested By HSR HOFFMAN,STEVEN R. D8�0 REql1BStEd 7123/2010 <br /> Agency Related Request 000ess�e <br /> Initiated From Pusuc PUBLIC <br /> Utility Locate(USA) No tots�zoa Called Dale Expiration Date <br /> Assignment Information <br /> Dept Pw PUBLIC INORKS Prioriry Estimated Hours <br /> CfBW SCONST SEWERCONSTRUCTION(AHLES) <br /> Conlractor <br /> Assigned To oes OLNAVA,eruo s. <br /> Assigned By AGA AHLES,GREGORY A. <br /> Assigned Date ___ To Be Comp Date <br /> Scheduled Date __ Scheduled Time <br /> Roule Route Sequence <br /> Comments <br /> Action Taken REPLACED SIDE SEWER FROM MAIN TO PROPERTY LINE. <br /> Recommended Action REPLACE SIDE SEWER <br /> Approved By �Bs oLHnvA,BRAD 5. Job Cost Info�mation(YIN) <br /> Start Date � � Time Date Completed tvvzo�o_ _ Permit No ____ <br /> Completed By _ Time __ Foliow Up? <br />