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Issued By GCR <br />Issued Department Pw <br />Date Issued ttizeizotz <br />Fund 40� <br />Program <br />Work Activity Work Order <br />GRENZNER, CHRIS R. <br />PUBLIC WORKS <br />Page 1 <br />3/15/2013 14:36 <br />Account s Program ��o Function to9 Activity 876 <br />Title REPAIR 2918 HEWITT AVE 710109675 <br />Work Order No 20122694 Project Activity Type SERVICE RE�UEST Status c� <br />Status �vza�zo�z Time oe:z3 Original WO Billing <br />Cuatomer In(ortnatfon <br />Customer Name ISEMAN, JOHN <br />Address zeta StreetHEv�nTrnve <br />Apartment No City <br />State Z�P <br />Subdivision <br />Phone No ( az5 ) 390-9328 Ext <br />Second Phone l � • Ext <br />E-Mail Address <br />Problem Infortnation <br />Address yg�8 Street HEWITT AVE <br />From Cross Street <br />To Cross Street <br />ciry <br />Subdivision Map Book <br />Probtem SEWER SEWER <br />Sub Probiem SS SIDE SEWER <br />Requested By MBR MO55, BRIAN R. <br />Agency <br />Initiated From Pusuc PueuC <br />Utility Locate (USA) No tzze526e Called Date <br />Assignment Information <br />Dept Pw PUBLIC WORKS <br />CfeW SCONST SEWER CONSTRUCTION (GRENZNER) <br />Contractor <br />Assigned To P� PUGSLEY, WILLIAM R. <br />Assigned By GCR GRENZNER, CHRIS R. <br />Assigned Date _ To Be Comp Date _ <br />Scheduled Date Scheduled Time _ <br />Route Route Sequence <br />Comments <br />Action Taken REPLACED SIDE SEWER FROM MAIN TO PROPERTY LINE. <br />RQCOffIR1B�d@d ACtI0I1 REPAIR SIDE SEWER <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Requested tyt�2ou <br />Related Request ou�tsst4 <br />Expiration Date <br />Priority Estimated Hours <br />Approved By ccR GRENZNER, CHRIS R. JOb COSt I�fOfrt18ti0f1(Y/N) <br />Start Date � i Time Date Completed �mm�a PermR No <br />Completed By ____ ____ Time _ Follow Up9 <br />