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5906 LARIMER RD 2016-01-01 MF Import
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5906 LARIMER RD 2016-01-01 MF Import
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Last modified
5/10/2017 3:09:51 PM
Creation date
2/19/2017 1:13:56 PM
Metadata
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Template:
Address Document
Street Name
LARIMER RD
Street Number
5906
Imported From Microfiche
Yes
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Work A�tivity Worbc Order <br />�,..,<. - <br />72/2/7.0:5 9:�a <br />Issued f3y OBS OLHAVA, �RAD 5 <br />Issued DepartmentPw PUBLICWORKS <br />Date Issued 9�3012015 <br />Fund ao� Account s Program »o Function �23 Activiry F» <br />Program <br />T�f!? REPAIR 590o L4RIMER RO 710123673 <br />Work Order No 20152138 Project Activity Type seRVICE RE�UEST Status c� <br />Status �r3azois Time o� o� Criginal WO ____ Billing <br />Customer Infortnation <br />Customer Name n�nr+ <br />Address s9os Sff2E?I LARIMER RD <br />Apartment No City <br />State Z�P <br />Subdivision <br />Phone No ( a25 ) a2a-eno Exl <br />Second Phone l 1- Ext <br />E-Mail Address <br />Problem Information <br />Address 5906 Street LARIMEr? RD <br />From Cross Streel <br />To Cross Streei <br />City <br />Subdivision Map Book <br />Problem DRAIN DRAINAGE <br />Sub Problem <br />Requested By MCL1 M1IALLAND, CHAD L <br />Agency <br />Initiated Frcm PUBLIC c�ueuC <br />UGliry locate (USA) No Ca!led Date <br />Assignment Information <br />Dept PN PUBLIC WORKS <br />Cf2W SCONST SEWER CONSTRUC710N�OLHAVAi <br />Contraclor <br />ASS19f1Bd TO MGF MCMANiS. GERAID F <br />Assigned By oe� o� Hnvn, nruo s <br />Assigned Gate To Be Comp Dale <br />ScheduleC Date Scheduled Tim� <br />Route Route Sequence <br />Coinments <br />Customer ld <br />Chanoe Map Y/N <br />Zip <br />Map Reference <br />Date Requested 9128/2015 <br />Related Requesl ooias9J2 <br />Expuztion Date <br />Pnordy EsUmated Hours <br />Action Taken REPAIRED INLET OF DRAIN LINE BY PLUGGING MOUNTAIN BEAVER TUNf![L WI1H MORTAR <br />AROUND PIPE . 4T. <br />Recommended Action REPAIR DRAIN LINC- AT OUTLET OF BIO SNJAL[ <br />Approved By M6F M11CM11ANI5, GERALD F JOb COSI Ifl(O�fT181i0�(Y�N) <br />Start Date � � Time Date Completed eneimts _ _ Permit No <br />Ccmpleted By Time Fo!low Up? <br />
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