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ISSUEd By AGA <br />Issued DepartmentPw <br />Dalelssued sneno�o <br />Fund 40t <br />Program <br />NO MAT� `�IALS <br />Work Activity Work Order pd9e 1 <br />7/30/2010 8:42 <br />.._-___ . . _..__ ._—____.. _.—_—._ <br />-____-- _._ __— —.__ . . .. <br />AHLES, GREGORY A. <br />PUBLIC WORKS <br />Account s Program �to Function �oy Activity s�s <br />TIiIE REPAIR 2502 VIRGINIA AVE 710109675 <br />Work Order No 20101498 PfOJEC� Activity Type CORRECTIVE MAINTENANCE <br />Slatus 617 812 0 1 0 Time �s:zo Original WO Billing <br />Customer Information <br />Customer Name Customer ld <br />Addi�ss zsnz Sff28i VIRGINIAAVE <br />Apartment No City <br />State Z�P <br />Subdivision Change Map Y/N <br />Phone No l ) - Ext <br />Second Phcne ( ) - Ext — <br />E-Mail Address <br />Problem Information <br />Addiess 250Y Street VIRGINIAAVE <br />From Cross Street <br />To Cross Street <br />City Zip <br />Subdivision Map Book Map Reference <br />Problem SEWER SEWER <br />Sub �roblem SS SIDE SEWER <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No totz75za Called Dale Expiration Date <br />Assignment Information <br />Date Rr�quested <br />Related Request <br />Dept Pw PUBLIC WORKS Priority Estimated Hours <br />CfOW SCONST SEWER CONSTRUCTION (AHLES) <br />Contractor <br />Assigned To OBS OLHAVA, BRAD S <br />Assigned By A�A AHLES, GREGORY A. <br />Assigne�+ Date To Be Comp Date <br />Scheduled Date Sciieduled Time <br />Route Route Sequence <br />Comments <br />Action Taken REPAIRED HOLE IN 4" CONCRETE PIPE 4' DEEP APPRO% 14' WEST OF CLEAN OUT IN <br />DRIVEWAY FOR 2502 VIRGINIA <br />Sf8iU5 CL <br />Recommended Action REPAIR SIDE SEWER <br />Approved By oe� OLEARY, BRIAN J. JOb COSI If1(Off112l1Of1(Y/N� <br />Start Date i i Time Date Completed siza2o�o Permit No <br />Completed By Time Fallow Up? <br />