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Work Activity Work Order pa9e 1 <br /> �/3oi2oio s:za <br /> 155UBd By AGA AHLES,GREGORY A. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 6�eizoto <br /> Fund qot Account s Program »o Function �09 Activity 675 <br /> Program <br /> TItlB ADJUST 7224 GRAND AVE 710109675 <br /> Work Order No 20101420 Project Activity Type SERVICE RE�UEST Status C� <br /> Status 61912010 Time �a:a3 Original WO ____ Billing <br /> Customer Information <br /> Customer Name OVERSTREET,soe Customer ld <br /> Address 1220 Stf00t GRAND AVE <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( azs ) 339•7057 Ext <br /> Second Phone ( 1 • Ext — <br /> E-Mail Address _ <br /> Problem Information <br /> Address �pyp Street GRANDAVE <br /> From Cross Street <br /> To Cross Street <br /> City Z�p <br /> Subdivision Map Book Map Reference <br /> Problem OTHER OTHER <br /> Sub Problem <br /> Requested By SJT SKAGEN,JEFFREY T. D8�0 RBQU@StBd 61812010 <br /> Agency Related Request 000ea76z <br /> Initiated From PUBUC Pueuc <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Pw PuauC woRKs Priority Estimated Hours <br /> CfOW SCONST SEWER CONSTRUCTION(AHLES) <br /> Contractor <br /> Assigned To �L ARNOLD, ARTHUR L. <br /> Assigned By AGA AHLES,GREGORYA. <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Schaduled Time <br /> Route Rou!z Sequence <br /> Comments <br /> Action Taken ADJUST CLEAN OUT TO SURFACE <br /> R@COrtIrtl8fld2d ACtlOfl BRING CITY CLEAN OUT uP TO SURFACE <br /> Approved By M� ARNOLD, ARTHUR L. JOb COSt IflfOffflBllOf1(YIN) <br /> Start Date � i Time _ ___ Date Completed enano�o Permit No <br /> Completed By Time Follow Up? <br />