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Work Activity Work Order F�9e 1 <br /> hi��iza�s �o �� <br /> ISSUEd By OBS OLHAVA,BRAD S. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued 4l612015 <br /> Fund �ot Accou�t s Program �io Funclion �pg Activity e�s <br /> Program <br /> TIII@ REPAIR 1108 RUCKER AVE 710109674 <br /> Work Order No 20150878 Project Actrvity Type seavic[rt[ouesr Ststus c� <br /> StaWs <ienois Time oroe Original WO Billing __ _ <br /> Customer Information <br /> Cuslomer Name w.Nov Cuslomer ld <br /> Addf25S 1108 $IfEBIRUCKER AVE <br /> Apartmenl No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No � a2s I �sa�seo Ext <br /> Second Phone ( 1 - Ext — <br /> E-Mail Address <br /> Problem Information <br /> Address 1108 Street RUCKER AVE <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map Book Map Re�erence <br /> Problem SEWER SEWER <br /> Sub Problem <br /> Requested By MCL7 MAIIAND,CHAD L Date Requested vsizois <br /> Agency Related Request oo�a�m <br /> Initiated From PUBLIC PUBLIC <br /> Utility Locate (USA) No 75086726 l,alled Date Expiration Date <br /> Assignment Information <br /> Dept Pw PU�LIC WORKS Prionty Estimated Hours <br /> Cf2W SCONST SEWER CONSTRUCTION(OLHAVA) <br /> Conlraclor <br /> Assigned To P�✓R rucs�[r,wi�uah�R <br /> Assigned By OBS OLNAVA,BRAD S. <br /> Assigned Date usnots To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Roule Roule Sequence <br /> Comments <br /> Action Taken REPLACEO 2'OF 8"CT 12'DEEP AT ROTTEN STUB WITH PVC. <br /> Recommended Action REPAIR MAIN AT STUB CONN[CTION <br /> Approved By PWR PUGSLEY,WILLIAM R JOb C051 I�(Off118110f1(Y/N) <br /> Start Date � � Time Date Completed aiaizois Permit No <br /> Completed By___ _ Time _ Follow Up7 _ __ <br />