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(�� ��d'���'E��A�,S <br />Work Activity Work Order <br />ISSUBd By AGA AHLES, GREGORY A. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued vzoito�o <br />Fund qat Account s Program »o Function �py <br />Program <br />TIfIB REPAIR 3218 NASSAU ST 770109675 <br />Work Order No 20100195 Project <br />Slatus v2onoto Time os:ia__ Original WO <br />Customer Informatian <br />Customer Name ANDI <br />Address 3218 Street Nnssnu sr <br />Apartment No City <br />State Z�P <br />Subdivision <br />Phone No ( azs 1 zs5-ezat Ext <br />Second Phone ( ) - Ext <br />E-Mail Address <br />Problem Information <br />Address gy�g Street NASSAU ST <br />Activity Type SERVICE REQUEST <br />Customer ld <br />From Cross Street <br />To Cross Street <br />City ZiP <br />Subdivision Map Book <br />Problem SEWER SEWER <br />Sub Problem SS SIDE SEWER <br />Requested By MBR MOSS, BRIAN R. <br />Agency <br />Initiated From PUBLIC PUBLIC <br />Utility Locate (USA) No �000eat6 Called Date <br />Assignment Information <br />Dept Pw PUBLIC WORKS <br />CfBW SCONST SEWER CONSTRUCTION (AHLES) <br />Contractor <br />ASSIgf1Bd TO OBS OLHAVA, BRAU S. <br />Assigned By AGA AHLES, GREGORY A <br />Assigned Date _ To Be Comp Date <br />Scheduled Date <br />Route <br />Comments <br />priority <br />Change Map YIN <br />Page 1 <br />iz/io/zoiz ia:oz <br />Activity 675 <br />SI0tU5 CL <br />Map Reference <br />Date Requested v�3i2oio <br />Related Request 000es�ss <br />Expiration Date <br />Estimated Hours <br />Scheduled Time <br />Route Sequence <br />�. INVENTORY MATERIAL IN THE AMOUNT OF 5750.84 WAS JOURNALI2ED � <br />IN 4010 <br />Action Taken REPAIRED SIDE SEWER FROM 5 FEET INTO STREET AND 10 FEET DEEP TO PROPERTY LINE. <br />Recommended Action REPAIR SIDE SEWER <br />App�OvBd By OBS OLHAVA, BRAD S. <br />Start Date � r Time <br />, <br />Job Cost Information(YIN) <br />Date Completed 311012070 Permit No <br />Y2 <br />