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Page 1 <br /> Work Activity Work Order 6����zoi� ia:zs <br /> ISSUBd BY GCR GRENZNER,CHRIS R. <br /> Issued Departmentaw PUBLICWORKS <br /> Date Issued v�ei2uta Activit <br /> Fund aot Account s Program »o Function toe Y s�s <br /> Program <br /> TIiIE REPAIR 2528 MAPLE 710109675 <br /> Work Order No Z��302Z� Project Activity Type CORRECTIVE MAINTENANCE Sf7iUS �L <br /> Status vtenoia Time ia:�s _ Original WO __ Billing ___ _____ _ — <br /> Customer Information Customer ld <br /> Customer Name <br /> Address 2528 StfB2� MAPLE ST <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( > - Ext ___ _____ _——__ <br /> Second Phone ( 1 • Ext <br /> E-Mail Address --- ------- <br /> Problem Information <br /> Address 2528 Street ry�qpLEST <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Probiem <br /> Sub Problem Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated From Ex iration Date <br /> Utility Locate (USA) No t�oo5za9 Called Date P <br /> Assignment Information <br /> Dept PW PUBLIC WORKS Prioriry Estimated Hours <br /> ClOW SCONST SEWER CONSTRUCTION(GRENZNER) <br /> Contractor <br /> Assigned To OBS OLHAVA,BRAD S. <br /> Assigned By GCR GRENZNER,CHRIS R. <br /> Assigned Date ___. To Be Comp Date ___ <br /> Scheduied Date ___ Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPAIRED SIDE SEWER IN ALLEY <br /> Recommended Action REPr+iR SioE S�R <br /> ; Job Cost Information(YIN) <br /> Approved By GCR GRENZNER,CHRIS R. � <br /> --- Date Com leted vzano�a Permit No <br /> Start Date _ � i ___ Time _ _ _ _ P — <br /> Compteted By Time Follow Up? <br />