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- , , . <br /> ;'� i." � i� ,+-`. . :._ � � . , - _, � <br /> Work Activity Work Order �3Oe ' <br /> _��; -_._ ��:,. <br /> �SSt10d BV GCR GREN2NER,CHRIS R. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued ioizaizota <br /> Fund ao� Account s Program ��o Function tia Aciivity s» <br /> Program <br /> TiIl2 REPAIR 10202 1ST DR SE 710123671 <br /> Work Order No 20133464 Project Activity Type SERVICE RE�UEST Status c� <br /> Status �a2a�zoia Time �soa OriginalWO Bitling _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address �o2oz Street �sr oR se <br /> Apartment Nu Ciry <br /> State 'Lip <br /> Subdivision Change Map Y/N <br /> Phone No l � - Ext <br /> Second Phone ( 1 - Exl - <br /> E-Mail Address <br /> Prohlem Information <br /> Address 10Y0p SVeet �ST DR SE <br /> From Cross Slreet <br /> To Cross Street <br /> City ZiP <br /> Subdivision Map Book Map Reference <br /> Problem DRAIN DRAINAGE <br /> Sub Problem OTHER OTHER <br /> Requested By otu DURRANT.ROGER A Date Requested �on7�2ota <br /> Agency Related Request ootzasz� <br /> Initiated From PUBLIC PUBLIC <br /> Utiliry Locate(USA) No Catled Date Expiration Date <br /> Assignment Informa[ion <br /> Depl PW PUBLIC WORKS Priority Estimated Hours <br /> Cf2W VACN VACTOR/NCREW(STECHER) <br /> Coniractor <br /> Assigned 1'o LGR LUNZ,GFEGORY R <br /> Assigned By GCR GRENZNER.CHRIS R <br /> Assigned Date _ To Be Comp Date <br /> Scheduled Date Schedule� Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPLACED�11SSING BRICKS AND MORTOR. FILLED SINKHOLE WITH GRAVEL AND COMPACfED. <br /> Recommended Action REpnut cs s o� <br /> APprovEd By GCR GRENZNER,CHRIS R. JOb COSt I�fUf�1'�2ti0n(Y/N) <br /> Start Date � � Time Date Completed toi�o�zou ____ Permit No <br /> Completed By Time Follow Up? _ <br />