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Work Activity Work Order Pa9e 1 <br /> 2/17/2014 10:38 <br /> Issued By �cR GRENZNER,CHRIS R. <br /> Issuad Depaftment Pw PUBLIC WORKS <br /> Date Issued 11ne�zot3 <br /> Fund ao� Account s Program »o Function tos Activity e�s <br /> Program <br /> Titie REPAIR 4909 ELM ST 710109675 <br /> Work Order No 20133731 Project Activity Type SERVICE RE�UEST Status c� <br /> Status tv�srzois Time �2:is Uiiginal W0 _— ---_—Billin9- _----_-- —_ _--- <br /> Customer Infonnation <br /> Customer Name HARRis,ROY Customer id <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br />�� Phone No ( ) • Ext ----- -- _-_---. <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 4909 Street ELM ST <br /> From Cross Street 49TH ST SW <br /> To Cross Street <br /> City �ip <br /> Subdivision Map Book Map Reference <br /> Problem SEWER SEWER <br /> Sub Problem SS SIDE SEWER <br /> RBqU05tE.1 By HMP HALE,MICHAEL P. D8t0 RBGUBStOd 81141201J <br /> Agency Related Request ooizzsae <br /> Initiated From INTER INTERNAL <br /> Utility Locate (USA) No 13299135 Called Date Expiration Date <br /> Assignment Information <br /> Dept Pw PUBLIC WORKS Priority Estimated Hours <br /> Cf2W SCONST SEWER CONSTRUCTION(GRENZNER) <br /> Contractor <br /> Assigned To oes OLHAVA,BRAD S. <br /> f�ssigned By GCR GRENZNFR,CHRIS R. <br /> Assigned Date To Be Comp Date <br /> Scheduled Date _____ Scheduled Time _ <br /> Route Route Sequence <br /> CommBIltS INVENTORY MATERIRL IN THE AMOUNT OF 5974.44 WAS JOURNALIZED <br /> IN 2013 <br /> Action Takei REPLACED SIDE SEWERS 4906,4909 AND 4912 FROM MAIN TO PROPERTY LINE. <br /> Recommended ACt1011 REPAIR SIDc SEWER 8 MAIN <br /> Approved By oes oLHAVA,ertno s. Job Cost Information(YIN) <br /> Start Date I � Time Date Completed ltivzal3 Permit No <br />