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� <br /> naqe 1 <br /> Work Activity Work Order y�6/2013 ii:oe <br /> ISSUOCJ BY IJM �MHOF,JAMES M. <br /> Issued Department Pw PUBLIC WORKS <br /> Date tssued �v3mzoi2 Account s Program �to Function �os Activity 675 <br /> Fund ao� <br /> Program <br /> TI�IO REPAIR 7215 MAPLE 710109675 <br /> Work Order No Z��ZZ6�� PfOJOCt Activity Type CORRECTIVE MAI�TENANCE StBtUS CL <br /> Status iv3azoiz Timein2t OriginalW02otz25ao _Billing_ <br /> Customer information Customer ld <br /> Customer Name <br /> Address 1215 S�f22I MAPLE ST <br /> Apartment No City <br /> State Z�P <br /> Change Map YIN <br /> Subdivision <br /> Phone No ( > - Ext — — <br /> Second Phone ( > - Ext <br /> E-Mail Address -- <br /> Problem Information <br /> Address �p�5 Strect MAPLE ST <br /> From Cross Street <br /> To Cross Street ZiP <br /> ��ry Map Book Map Reference <br /> Subdivision <br /> Problem SEWER SEWER <br /> Sub Problem SS SIDE SEWER Date Requested <br /> Requested By Related Request oo�taa3o <br /> Agency <br /> Initiated From Ex iration Date <br /> Utility Locate (USA) No 12zs�e�s Called Date P <br /> Assignment Information Priority Estimated Hours <br /> Dept PW PUBLIC WORKS <br /> CfBW SCONST SEWER CONSTRUCTION(GRENZNER) <br /> Contractor <br /> Assigned To PWR PUGSLEY,WILLIAI.A R. <br /> Assigned By ��M IMHOF,JAMES M. <br /> Assigned Date »13012012_ To Be Comp Date <br /> Scheduled Date __._ Scheduied Time _ <br /> Route Route Sequence „y_ <br /> Comme�ts INVENTORY MATERIAL IN THE AMOUN�`OFyS��7•7J�LVAS JOURNALIZED;L� <br /> IN 2012 <br /> Action Taken REPAIR SIDE SEWER <br /> Recommended Action <br /> Approved By IJM IMHOF_�AMES M. JOb COS1 IflfOffllB�lOf1(YIN� <br /> Time Date Completed tv�u2o�2 Permit No <br /> Start Date � � -- <br /> --- <br /> Completed By Time Follow Up. <br />