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Work Activity Work Order pa9e 1 <br /> 9/14/2013 11:00 <br /> ISSU2d By GCR GRENZNER,CHRIS R. <br /> Issued DepartmentPw PUBLIC\YORKS <br /> Date Issued 3�zoizola <br /> Fund qot Account 5 P;ogram �to Function �09 Activity a76 <br /> Program <br /> Title REPAIR 1105 HEWITT AVE 710109675 <br /> Work Order No 20130670 Project Activity Type SERVICE REQUEST Status cL <br /> Status 3I20/2013 Time is:o2 Original WO Billing _ <br /> Customer Iniormation <br /> Customer Name LAPINSKI,RICK Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone Na ( a2s ) 330-7773 Ext <br /> Second Phone ( ) • Ext <br /> E-Mail Address _ <br /> Problem Information <br /> Address »05 Street HEWITT AVE <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. R@IB�Ed REGU@S� 00117829 <br /> Agency <br /> Initiated From PUBLIC PUBLIC <br /> Utility Locate(USA) No 13G62666 Calied Date Expiration Date <br /> Assignment Information <br /> Dept Pw PUBLIC WCQKS Priority Estimated Hours <br /> Cf2W SCONST SEWER CONSTRUCTION(GRENZNER) <br /> Contractor <br /> Assigned To oss OLHAVA,BRAD S. <br /> Assigned By GCR GREN2NER,CHRIS R. <br /> Assigned Date _ _ To Be Comp Date <br /> Scheduied Date _ Scheduled Time _ <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPLACED SIDE SEWER FROM MAIN TO PROPERTY LINE <br /> R@COIiIITIB�fIBd ACIIOfI REPAIR SIDE SEWER <br /> Approved By oes o�Nqvn,sRa,�s. Job Cost Information(YIN) <br /> Start Date � � Time _ Date Completed 41612013 Permit No <br /> Completed By _______ _ __ Time _ Follow Up7 <br />