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Work Activity Work Order Page � <br /> iz/ze/zoii 9:is <br /> ISSU2d By AGA AHLES,GREGORY A. <br /> Issued Department aw PUBLIC WORKS <br /> Datelssued tznono�� <br /> Fund not Account s Program �to Function tos Activity bis <br /> Program <br /> TifIE REPLAC[:812EVERETTAVE710709675 <br /> Work Order No 20112596 Project Activity Type SERV�CE REQUEST Status c� <br /> Status �2norzott Time �i:» __ Original WO_ _ Billing ___ _ <br /> Customer Information <br /> Customer Name WILLIAMS,STEVE Customer ld <br /> Address 2812 S�fQBt EVERFTT AVE <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( a2s ) 501-0149 Ext <br /> Second Phone ( ) • Ext — <br /> E-Mail Address <br /> Problem Informatian <br /> Address pg�y Street EVERETTAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem SEWER SEWER <br /> SubProblem SS SIDESEWER <br /> Requested By HSR HOFFMAN,STEVEN R. D01C RBGUeSt2d 111291i.11 <br /> Agency Related Request oato3�ea <br /> Initiated From ausuc r�ueuc <br /> Utility Locate(USA) No �tzsazze Called Date Expiration Date <br /> Assignment Information <br /> Dept Pw PUBLIC WORKS Priority Estimated Hours <br /> Cf2W SCONST SEWER CONSTRUCTION(AHLES) <br /> Contractor <br /> Assigned To MJM MCMANIS,JOHN M. <br /> Assigned By AGA AHLES,GREGORY A. <br /> Assigned Date ___ To Be Comp Date <br /> Scheduled Dale Scheduled Time ____ <br /> Route Route Sequence <br /> Comments <br /> Actio�Taken REPLACED SIDE SEWER FROM MAIN TO PROPERTY LINE <br /> Recommended Action rtep�nce sioe sewert <br /> Approved 6y MJM MCMANIS,JOHN M. JOb COSf 111fO�rt18fI0f1(YIN) <br /> Start Date � � Time _ Date Completed ty2v2ott Permit No <br /> Completed By _ __ _ Time _ Follow Up? __ <br /> ____ �3 <br />