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Work Activity Work Order Pa9e 1 <br /> 12/7/2013 12:46 <br /> . ._ _ _._ ___ _. . . _ ___ __.. _. .. <br /> ISSUed BY GCR GRENZNER,CHRIS R. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 1 01412 01 7 <br /> Fund aoi Account s Program »o Function tos Activity e�s <br /> Program <br /> TIfIG REPAIR 2022 ROCKEFELLER AVE 710109675 <br /> WOfk Ofdef NO 20133221 PfOJOCf Activity Type CORRECTIVE MAINTENANCE Sf2�U5 CL <br /> Status iowrzois Time i2:a� Original W0 _ Billing_ __ <br /> Customer Information <br /> Customer Name comenux,SYLVIA Customer ld <br /> Addf855 2022 51fe0t ROCKEFEILER AVE <br /> Apartment No City <br /> State Z�p <br /> Subdivision Change Map Y/N <br /> Phone No ( azs ) azx•s92� Ext <br /> Second Phone ( 1 - Ext — -- <br /> E-Mail Address <br /> Problem Information <br /> Address 202Y S!reet ROCKEFELLER AVF_ <br /> From Cross Street ZOTH ST <br /> To Cross Street 21 ST ST <br /> City ��P <br /> Subdivision Map Book Map Reference <br /> Problem SEWER SEWER <br /> Sub Problem SS SIDE SEWER <br /> Requested By ��M JESMER.JEFFREY M. DBtB REGUBStBd 912112 0 1 3 <br /> Agency PW PUBLIC WORKS Related Request ao�z3s3e <br /> Initiated From INTER INTERtJAL <br /> Utility Locate (USA) No �azssozs Called Date Expiration Date <br /> Assignment Information <br /> Dept Pw PUBLIC WORKS Priority Estimated Hours <br /> CfOW SCONST SEIVER CONSTRUCTION�GRENZNER) <br /> Contractor <br /> Assigned To OBS OLHAVA, BRAD S. <br /> Assigned By GCR GREIJ2NER,CHRIS R. <br /> Assigned Date 9iznzo�s_ To Be Comp Date <br /> Scheduled Date Scheduled Time ___ <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPLACED SIDE SEWER FROM MAIN TO PROPERTY LINE. <br /> RCCOR1t11CfIdCd ACt1011 REPAIR SIDE SEWER <br /> Approved By oeS o�HAv�,sw�,o s. Job Cost Information�Y/N) <br /> Start Date � r Time Date Completed �oizsi2oia Permit No <br /> Completed By Time Follow Up7 <br />