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4610 S 3RD AVE 2016-01-01 MF Import
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4610 S 3RD AVE 2016-01-01 MF Import
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Last modified
5/11/2017 12:40:44 PM
Creation date
3/8/2017 1:02:45 AM
Metadata
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Template:
Address Document
Street Name
S 3RD AVE
Street Number
4610
Imported From Microfiche
Yes
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Work Activity Work fJrder �'au� � <br />�o��o�aoi3 is:za <br />ISSt1Cd BY GCR GRENZNER, CHRIS R. <br />Issued DepartmentPw PUBLICWORKS <br />Date Issued ersnoia <br />Fund aot Account s Program �io Function tz� Activity 671 <br />Program <br />Tit10 REPAIR 4610 S 3RD AVE 710123673 <br />Work Order No 20132411 Project Activiry Type SERVICE RE�UEST Status c� <br />Status 9r3izois Timeo�:os OriginalWO _ _ _ Billing_ _ __ _ ______._ _ <br />Customer Information <br />Customer Name CCNCERNED CITIZEN <br />Address Street <br />Apartm�mtNo City <br />State Z�P <br />Subdivision <br />Phone No ( ) • Ext <br />Secand Phone ( > - Ext <br />E-Mail Address <br />Problem Informatfon <br />Address 4610 Street S 3R0 AVE <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision Map Book <br />Problem DRAIN DRAINAGE <br />Sub Problem DL DRAIN LINES <br />Requested By MBR M110SS. BRIAN R. <br />Agency <br />Initiated From PUBLIC PUBLIC <br />Utility Locate (USA) No t�2oazza Called Date <br />Assignment Information <br />D?Pf PW PUBLIC WORKS <br />CfOW SCONST SEWERCONSTRUCTION(GRENZNER) <br />Cantractor <br />Assigned To IJM IMHOF, JAMES M. <br />Assigned By GCR GRENZNER, CHRIS R. <br />Assigned Date ____ _ To Be Comp Dat� <br />Scheduled Date Scheduied Time <br />Route Route Seque�ce <br />Comments <br />Customer ld <br />Zip <br />Change Map Y/N <br />Map Referenca <br />Expiration Date <br />Date Requesied e�vzo» <br />Related Request ooizzz�a <br />Priority Estimated Hours <br />Ac!ion Taken REPAIRED VOID IN CB-BOX. �ACKFILLED AN� CON�PACTED. PREP FOR ASPHAULT. <br />Recommended Aclion REpqirt oaniNUN� <br />Approved By IJM IMHOF, JAMES M <br />Start Date i � Time <br />Completed By <br />Job Ccstlnformation(Y/N) <br />Date Complele� ����zo�a_ <br />Time Follcw Up7 <br />Permit No <br />
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