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Work Activity Work Order <br />ISSUBd BY AGA AHLES, GREGORY A. <br />Issued DepartmentPw Pueuc woRKs <br />Datelssued vztnol2 <br />Fund ao1 Account s Program »o <br />Program <br />TIil2 REPLACE 3324 R0!:KEFELLER AVE 710109675 <br />Work Order Na 20120239 Project Activity Type <br />Status vzvzoiz Time oe:oa Original WO <br />Customer Information <br />Customer Name DEIEON JOHN <br />Address 3�24 StfeOf ROCKEFELLER AVE <br />Apartment No City <br />State Z�P <br />Subdivision <br />Phone No ( a25 ) 5oa•zsss Ext <br />Second Phone ( ) - Ext <br />E-Mail Address <br />Problem Information <br />Address 3324 Street ROCKEFELLERAVE <br />From Cr�ss Street <br />To Cross Street <br />City <br />Subdivision Map Book <br />Problem SEWER SEWER <br />SubProblem SS SIDESEWER <br />R0quB5t8d By GMJ2 GESLAK, MARTY J. <br />Agency <br />Initiated From PUBLIC PUBLIC <br />Utiliry Locate (USA) No �zoosast Cailed Date <br />Assignment Information <br />Dept PW PUBLIC WORKS <br />C�BW SCONST SEWER CONSTRUCTION (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 />Scheduied Uate _ _ _ Scheduled Time ___ <br />Route Route Sequence <br />Comments <br />Action Taken REPLACED SIDE SEWER FROM MAIN TO PIL. <br />Recommended Action REPIACE SIDE SEWER <br />Function toe <br />Customer ld <br />SERVICE REQUEST <br />Change Map YIN <br />Page 1 <br />5�2=�Zoiz iz:�i <br />ACtiVlry 675 <br />S�BfUS CL <br />?ip <br />Map Reference <br />Date ReGuesled tnsi2otz <br />Related Request ootosae� <br />Expiration Date <br />Priority Estimated Hours <br />Approved By oas o�HAVA, ertno s. Job Cost information(Y/N) <br />Start Date i � Time Date Completed 3�a�2otz Permit No <br />Completed By _ ___ _ _ _ ____ Time _ Follow Up? <br />