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Work Activity Work Order pa9e 1 <br /> 9/21/2013 10:11 <br /> ISSUed By GCR GRENZNER,CHRIS R. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 612112013 <br /> Fund ao� Account s Program »e Function ioe Activity 675 <br /> Program <br /> TIfIB REPAIR 3525 NORTON AVE 710109675 <br /> Work Order No 20131307 Project Activity Type SERVICE REQUEST Status c� <br /> Status snvzois Time i5:si Original WO _ Billing ___ _ __ _ __ _ <br /> Customer Information <br /> Customer Name HUBBARD, MATT Customer ld <br /> Address 3525 Sff@21 NORTON AVE <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( a25 ) aaa•2eoa Ext <br /> Second Phone ( ) • Ext — --- <br /> E-Mail Address <br /> Problem Information <br /> Address 3525 Street NORTONAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem SEWER SEWER <br /> Sub Problem SS SIDE SEWER <br /> Requested By ccw Gruves,GnRv w. Date Requested 6181207� <br /> Agency Related Request aoizoass <br /> Initiated From PUBLIC PUBLIC <br /> Utility Locate (USA) No 13146271 Called Date Expiration Date <br /> Assignment Information <br /> Dept Pw PUBLIC WORKS Prioriry Estimated Hours <br /> CfOW SCONST SEWER CONSTRUCTION(GRENZNER) <br /> Contractor <br /> Assigned To oes OLHAVA,BRAD S. <br /> Assigned By GCR GRENZNER, CHRIS R. <br /> Assigned Date 618/2013 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 /> Recommended Action REFl.IR SIDE SEWER <br /> Approved By oss o�Hava„saAo s. Joi� Cost Information(Y'N) <br /> Start Date r � Time Date Completed 711 612 0 1 3 Permit No <br /> — — —— — <br /> Completed By _ _ _ Time __ Follow Up?__ ___ <br />