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Work Activity Work Ordec <br />Fage 1 <br />10/3/2012 10:09 <br />ISSUBd By AGA AHLES,GREGORY A. <br />Issued DepartmentPw PUBLICWORKS <br />Date Issued 61912012 <br />Fund 40� Account a Program �to Function toe Activiry e�s <br />Program <br />Title REPLACE 3124 GRAND AVE 710109675 <br />Work Order No 2��20�59 PfOjCC� Activity Type CORRECTIVE MAINTENANCE S�h1S CL <br />Status 6I9I2012 Time is�aa Original WO Biliing <br />Customer Infortnation <br />Customer Name <br />Address 3124 Si�CBt GRAND AVE <br />Apartment No City <br />State Z�P <br />Subdivision <br />Phone No � > - EM <br />Second Phone ( 1 • E%�'� <br />E-Mail Address <br />Problem Iniormation <br />Ad ress 31yq tr t GRANDAVE <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision Map Book <br />Pr�blem SEWER SEWER <br />Sub Problem SS SIDE SEWER <br />Requested By RMA RE�UA, MARCUS A. <br />Agency <br />Initiated From <br />Utility Locate (USA) No 12087278 Called Date <br />Assignment Infortnation <br />Dept Pw PUBLIC WORKS <br />� Cf2W SCONST SEWER CONSTRUCTION (AHLES) <br />Ccntractor <br />Assigned To oes OLHAVA, srtno s. <br />Assigned By AG� AHLES, GREGORY A. <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 />Customer ld <br />Change Map 'f/N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />RQCOrtlrtlB�d@d ACNOII REPLACE SIDE SEWER FROM MAIN TO PIL <br />Approved By oes o�w+vn, eruo s. Job Cost Information(Y/N) <br />Start Date � i Time Date Completed era2ott PertnR No <br />Completed By Time _ Follow Up4 _ <br />