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NO MATERIALS <br /> Work Activity Work Order Page � <br /> 12/28/2011 8:03 <br /> ISSU2d BY AGA AHLES,GREGORY A. <br /> Issued Department aw PUBIIC WORKS <br /> Date Issued nsizo» <br /> Fund aot Account s Program »o Function �og Activity s�s <br /> Program <br /> TIIIB REPAIR 3531 PAINE AVE 770109675 <br /> Work Order No 20111012 Project Activiry Type SERVICE RE�UEST Status c� <br /> Status �is�zoit Time io:o� Original WO _____Billing __ _______ — <br /> Customer information <br /> Customer Name SIX ROBBLEES,TOM DAVIS Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( azs ) aos•oast Ext _______. <br /> Second Phone ( ) • Ext <br /> E-MailAddress ____ ._.- __ -- -- --- ---- <br /> Probiem Information <br /> Address 3531 Street pq�NE 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 SS SIDE SEWER <br /> Requested By HSR HOFFMAN, STEVEN R. RCI2f0d R2qU051 00099/69 <br /> Agency <br /> Initiated From PUBLiC PUBLIC <br /> Utility Locate (USA) No tttn2s2 Called Date Expiration Date <br /> Assignment Information <br /> Dept PW PUBLIC WORKS Priority Estimated Hours <br /> CfBW SCONST SEWER CONSTRUCTION(AHLES) <br /> Contractor <br /> Assigned To OBS OLHAVA,BRAD S. <br /> Assigned By AGA AHLES,GREGORI'A. <br /> Assigned Date ___ ___. To Be Comp Date _ . <br /> Scheduled Date Scheduled Time _ __ _ _ <br /> Route Route Sequence <br /> Comments <br /> Action Taken EXCAVATED CAVE•IN.PROBLEM CAUSED BY POOR COMPATION.BACK FILLED AND <br /> RE-COMPACTED. <br /> RBCOf11f11Cflded ACtI0i1 EXPOSE AREA OF CAVE-IN AND REPAIR PROBLEM <br /> Approved By oss o�Hnvn,BrtAo s. Job Cost Information(Y/N) <br /> -- --------- <br /> Start Date � i Time Date Completed �mnno��____ Permit No <br /> Campleted By Time Follow Up? /1 <br /> �J <br />