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Wc�rk Activity� Work Order �°'` ' <br /> :z/;/'o��3 �3 :oa <br /> ISSUBd By GCR GRENZNER,CHRIS R. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued ionai2o�s <br /> Fund qot Account s Program »o Function �os Activity s�5 <br /> Program <br /> TIfIE REPAIR 2201 LOMBARD AVE 770109675 <br /> Work Order No 20133465 Project Activity T�pe SERVICE RE�UEST Status c� <br /> Status iazaizois Time ia:es Original WO Billing _ _ _ _ <br /> Customer Information <br /> Customer Name coe ass Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address Y201 Street LOMBARDAVE <br /> From Cross Street zpND ST <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem SEWER SEWER <br /> Sub Problem SS SIDE SEWER <br /> Requested By DRA DURRANT, ROGERA Date Requested 10121/2013 <br /> Agency Related Request oo�zaeaa <br /> Initiated From INTER INTERNAL <br /> Utility Locate (USA) No 1328372i Called Date Expiration Date <br /> _ Assignment Information <br /> Dept Pw PUBLIC WORKS Priority Estimated Hours <br /> CfeW SCONST SEWER CONSTRUCTION(GRENZNER) <br /> Contractor <br /> Assigned To PWR PUGSLEY,WILLIAM R. <br /> Assigned By GCR GRENZNER.CHRIS R. <br /> Assi ned Date To Be Comp Date <br /> 9 __ _ _ — _ <br /> Scheduled Date Scheduled Time __ <br /> Route Route Sequence <br /> Comments <br /> Action Taken REFLACED SIDE SEWER FROM MAIN T�PROPERTY LINE. <br /> R@COrtiR10f1dCd ACtI0i1 REPAIR SIDE SEWER <br />� <br /> Approved By oes o�Hnvn, eano s. Job Cost Information(YIN) <br /> Start Date � i Time Date Completed �oisv2ota _ Permit No _ <br /> _ _ <br /> Completed By -i ime Follow Up? <br />