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Fage 1 <br /> Work Activity Work Order 6�ZS�Zo12 14:4, <br /> ISSUEd By AGA AHLES,GREGORY A. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued tiZ4iZoiZ Account 5 Program �io <br /> Fund ao� Function �oe Activity fitt <br /> Program <br /> TitlO REPLACE 3531 PAINE AVE 710709671 <br /> Work Order No 2��20386 �fOJ2Cf Activity Type CORRECTIVE MAINTENANCE St2�US CL <br /> Status zizano�2 Time io:os Original WO Billing _—_ <br /> Customer Information Customer ld <br /> Customer Name <br /> Address 3531 S�f28� PAINE AVE <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> PhoneNo ( ) • Ext __ __ <br /> Second Phone ( ) - Ext <br /> E-Mail Address ------ — ---- <br /> Problem Intormation <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 MANHOL MANHOLES pate Requested <br /> Requested By Related Request <br /> r�,gency <br /> Initiated From Ex iration Date <br /> Utility Locate(USA) No t2o�2aao Called Date P <br /> Assignment Information <br /> Dept Pw Pueuc woRKs Priority Estimated Hours <br /> Cf2W SCONST SEVJERCONSTRUCTION(AHLES) <br /> Contractor <br /> Assigned To OBS OLHAVA,BRAD S. <br /> Assigned By AGA AHLES.GREGORY A. <br /> Assigned Date ____ To Be Comp Date _ __ <br /> Scheduled Date Scheduled Time <br /> Route Raute Sequence <br /> Commento <br /> Action Taken REPLACED SMH Pi3 AND INSTALLED MAIN TO SMH P30. <br /> Recommended Action REPLACE MH <br /> Approved By oss oLHnvn, eano s. Job Cost Information(Y/N) <br /> Start Date � I Time __ ___ __. Date Compieted 5I912012 Permit No <br /> --- — <br /> Completed By _ _ Time Foilow Up?_ _ <br />