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ISSUEd Fiy GCR <br />Issued Depa�imert aw <br />Date Issued �i2anoia <br />Fund ao� <br />Program <br />Work Activity Work Order <br />GRENZNER, CHRIS R. <br />PUBLIC WORKS <br />�`I �J� ��f ;I ?rr�, t� !�� (,� � n'% � <• <br />/ur�,a�l <br />Pag� 1 <br />s�i��zoia ia:ai <br />Account s Program »a Function �09 Activity e�s <br />Title REPAIR 2417 WALNUT ST 710109675 <br />Work Order No 20140667 Project Activity Type SERVIC[ RGOUEST <br />Status 3I28/2014 Time �z i� Originai WO Billing _ <br />Customer Information <br />Customer Name RINGMAN, DON <br />AddfQSS 2411 SlfEet WALNUT ST <br />Apariment No City <br />State Z�P <br />Subdivision <br />Phone No ( a25 ) 25z-0aai Ext <br />Second Phone l ) - Ext <br />E-Mail Address <br />Problem Informafion <br />Address yq�� Slreei yyALNUT ST <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision Map Book <br />Problem SEWER SEWER <br />Sub Problem OTHER OTHER <br />Requested By ccM CA6E, CH;1D M. <br />Agency <br />Initiated From Pueuc PUF3UC <br />Ulility Locate (USA) No taostss9 Called Date <br />Assignment Information <br />Depl PW PUBLIC WORKS <br />CfBW SCONST SEWERCONSTRUCTION(�RENZNER) <br />Contractor <br />Assigned To IJM IMHOF, JAh1FS M. <br />Assigned By GCR GNENZNER, CIiRIS R. <br />Assigned Date To Be Comp Date <br />Scheduled Date Sched�ted Time <br />Route Route Sequence <br />Comments <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map Reference <br />Prionty <br />Expira6on Date <br />S121115 CL <br />Date Requested snn2o�a <br />Related Request oo�2esaa <br />Estimated Hours <br />Action Taken DUG DOWN 9'. NO PROBLEM FOUND OTHER THAN SOME WOOD SCRAP BACKFILLED AND <br />COMPACTED GRADE� TO EXISTING ALLEY. <br />RCCOfTIfT1COdCd I�CiIOII REPAIR SIDE SEWER <br />Approved By IJM IMHOF, JAMES M. JOb COSf Ifl(Of(118110f1(YIN) <br />Start Date � I Time Date Completed aizeizo�a __ <br />Completed By Time Follow Up7 <br />Permit No <br />