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Work Activity Work Order pa9e 1 <br /> s�ss�zoiz iz:z9 <br /> ISSUed By AGA AHLES,GREGORY A. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued YI2312012 <br /> Fund aot Account s Program �to Function tos Activity 6�s <br /> Program <br /> Title REPLACE 2006B E GRAND AVE 710709675 <br /> Work Order No 20120380 Project Activiry Type SERVICE RE�UEST Status cL <br /> Status v2srzo�z Time �o:s2 Original WO Billing_ <br /> Customer Iniormation Customer ld <br /> Customer Name AICHELE,DOUGLAS <br /> AddfB55 2006 B St(00� E GRAND AVE <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( zo6 ) 251-3684 Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address — <br /> Problem Information <br /> Address 2006 8 Street E GRAND AVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem SEWER SEWER <br /> Sub Probtem SS SIDE SEWER Date Requested vzv2ots <br /> Requested By HSR HOFFMAN,STEVEN R. Rela�Bd R2GU251 00106714 <br /> Agency <br /> Initiated From PUBLIC PUBLIC <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Information Estimated Hours <br /> Dept Pw Pusuc woRKs Priority <br /> CfEW SCONST SEVJER CONSTRUCTION(AHLES) <br /> Contractor <br /> Assigned To OBS OLHAVA,BRAD:. <br /> Assigned By AGA AHLES,GREGORY A. <br /> Assigned Date __ To Be Comu Date <br /> Scheduled Date _ Scheduled Time <br /> Route Route Sea�ence <br /> Comments <br /> Action Taken REPLACED SIDE SEWER FROM MAIN TO PROPERTY LINE. <br /> Recommended Action <br /> Approved By oas o�Hnvn,sruo s. Job Cost Information(Y/N) <br /> Start Date � � Time Date Completed sr2eizot2 Permit No <br /> Completed By_ _ _ _____ _ Time _ Follow Up7 <br />