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Work Activity Work Order Page 1 <br /> 12/28/2011 8:07 <br /> ISSUBd By AGA AHLES,GREGORY A. <br /> Issued Department Pw PUBLIC WORKS <br /> 7ate Issued �onvzott <br /> Fund ao� Account s Program �to Function toe Activity s�� <br /> Program <br /> Title REPLACE 3205 PACIFIC AVE 710109671 <br /> Work Order No 20112378 PfOJBCt Activity Type CORRECTIVE MAINTENANCE Std[US CL <br /> Status ioiivzoii Time �s:sz __ Original WO ___ __ Billing __ __ _,__ ________ _ _— <br /> Customer information <br /> Customer Name Customer ld <br /> Address 3zos Street rnciFic nvE <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 - Ext ---_ --_ - --- —__ <br /> Second Phone ( ) - Ext <br /> E-Mail Address -- <br /> Problem Information <br /> Address 3205 Street pqCIFIC AVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem SEWER SEWER <br /> Sub Problem RdL RlNG AND LIDS <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Informatlon <br /> Dept Pw PUBLIC WORKS Priority Estimated Hours <br /> CfeW SCONST SEWER CONSTRUCTION(AHLES) <br /> Contractor <br /> Assigned To OBS OLHAVA,BRAD S. <br /> Assigned By AGA AHLES,GREGORYA. <br /> Assigned Date __ _____ To Be Comp Date _ _ <br /> Scheduled Date _ ___ Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken BOLTED DOWN RING AND LID TO M.H. <br /> Recommended Action iNs7n���ocK Doww rt8� <br /> Approved By oss o�w�vA, eano s. Job Cost Information(YIN) <br /> Start Date � � Time Date Completed �onenoi� __ Permit No <br /> ----- <br /> Completed By Time Follow Up? _ _ ____^ <br /> - --- \�� <br />