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Work Activity Work Order pa9e 1 <br /> 12/20/2011 9:08 <br /> ISSUBd By AGA AHLES,GREGORY A. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued �o�zo�2o�t <br /> Fund aoi Ac;;cunt s Prograrn lio Function tos Activity s�s <br /> Program <br /> Tit63 REPIACE 1806 HOYT AVE 710109675 <br /> Work Order No 20112431 Project Nctivity Type SERVICE RE�UEST Status c� <br /> Status to�zoizoi� Time is:is Original WO _ __ Billing__ <br /> Customer Information <br /> Customer Name SHEPARD,GEOFFREY Custom=r ld <br /> Address 1806 Stfe2l HOYT AVE <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( azs ) 387•2974 Ext <br /> Second Phone ( � • Ext <br /> E-Mail Address geoH@snepherd.com <br /> Problem Information <br /> Address 1806 Street HOYT AVE <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. DafO RBqUeSted 101412011 <br /> Agency Related Request ootozssz <br /> Initiated From PUBLIC PUBLIC <br /> Utiliry Locate (USA) No >>z3oaza Called Date Expiretion Date <br /> Assignment Infonnation <br /> Dept Pw PUBLIC WORKS Priority Estimated Hours <br /> � CfBW SCONST SEWERCONSTRUCTION(AHLE51 <br /> Contractor <br /> Assigned To OBS OLHAVA,BRAD S <br /> Assigned By AGA AHLES, .^..REGORY A <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPLACED SIDE SEWER FR9M MAIN TO PROPERTY LINE <br /> Recommended Action REpip,cE sioE sEv�R <br /> Approved By oeS o�Havn,ertno s. Job Cost Information(Y/N) <br /> -- - <br /> Start Date i i Time _ Date Completed �vzo�mi� _ Pe�mit No <br /> - — <br /> Completed By _ Time FolloK� Up? <br /> — � <br />