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Work Activity Work Order <br />Page 1 <br />io/s/soiz a:a� <br />ISSUEd BY AGA AHLES, GREGORY A. <br />Issued Department aw PUBLIC WORKS <br />Date Issued snu2ots <br />Fund �ot Account 5 Program »o Function toa Activity ett <br />Program <br />Title REPLACE 4508 GRAND AVE 710709671 <br />WOfk Ofd2f NO 20120773 PfOjBCI Activity Type CORRECTIVE MAINTENANCE Si2�US CL <br />S�81U5 6I1412012 TiR1E 10:52 Ori inal WO BIIII� <br />Customer in(ortnation <br />C�istomer Name <br />AddfeSS 1508 S�f80f GRAND AVE <br />Apartment No City <br />State Z�P <br />Subdivision <br />Phone No ( ) • Ext <br />Second Phone ( ) - Ext <br />E-Mail Address <br />Problem Information <br />Address 4508 Stre GRANDAVE <br />From Cross Street <br />To Cross Street <br />CiN <br />Subdivision Map Book <br />Proble SEWER SEWER <br />Sub Problem R8L RING AND LIDS <br />Requested By RMA REQUA, MARCUS A. <br />Agency <br />Initiated From <br />Utility Locate (USA) No Called Date <br />Assignment Information <br />Dept Pw PUBLIC WORKS <br />C�2W SCONST SEWER CONSTRUCTION (AHLES) <br />Contractor <br />Assigned To oes OLHAVA, BRAD S. <br />Assigned By AGA AHLES, GREGORY A. <br />Assigned Date To Be Comp Date _ <br />Scheduled Date <br />Route <br />Comments <br />SchEduled Time <br />Route Sequence <br />Customer ld <br />Change Map YIN <br />� <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Heurs <br />Actfon Taken REPLACED RING AND LID WITH EAST JORDAN LOCKING AND RAISED TO GRADE. <br />Recommended Action RePwce rta� <br />Approved By oes OLHAVA, BR4D S. <br />Start Date i � <br />Completed By__ _ <br />Job Costlnformation(Y/N) <br />Time Date Completed ��ts�xo�s Pertnit No <br />Time Follow Up? <br />