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Work Activity Work Order Pa9e 1 <br /> 10/28/2010 9:26 <br /> ISSU@d By AGA AHLES,GREGORY A. <br /> Issued Departmentaw PUBLICWORKS <br /> Date Issued en3izoto Activi <br /> Fund aot Account s Program »o Function �Za ry e» <br /> Program <br /> Title REPIACE 1137 GRAND AVE 710123671 <br /> Work Order No 20102345 PfOfBC� Activiry Type GORRECTIVE MAIN7ENANCE $fBIUS CL <br /> Status erz3noto Time t�:zs Original WO Billing <br /> Customer Information Customer ld <br /> Customer Name <br /> Address t�3� Street canNo ave <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No � 1 - Ext <br /> Second Phone ( 1 - Ext <br /> E-Mail Address — — <br /> Problem Iniortnatlon <br /> Address ��3� Street GRAND AVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem DRAIN DRAINAGE <br /> Sub Problem CB'S ALL CB EXCEPT CLEAN Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated From <br /> Utility Locate(USA) No �otesaa3 Called Dale Expirelion Date <br /> Assignment Inio►mation <br /> Dept PN' PUBLIC WORKS Priority Estimated Hours <br /> CfBW SCONST SEWERCONSTRUCTION(AHLES) <br /> Contiactor <br /> Assigned To oss OLHAVA,BRAD S. <br /> Assigned By AGA AHLES,GREGORY A. <br /> Assigned Date To Be Comp Date _ <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Actfon Taken REPLACED UNKNOWN CB WITH CURRENT PROOUCTION CB 15, <br /> ROCORIrt10f1dBd ACt10f1 REPLACE UNKNOWN CB <br /> Approved By oes o�Hnvn,s�tno s. Job Cost Informalion(YIN) _ <br /> Start Date � i Time _ Date Completed enono�o _ Permit No <br /> Completed By Time _ Follow Up? <br /> /3 <br />