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NO ��TE � i�i. 5 <br /> Work Activity Work Order �'�` 1 <br /> 9/i4/20li 14:Od <br /> ISSU2d By � AGA AHLES,GREGORY A. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued a�2eizo�� <br /> Fund ao� Account s Program �to Function �oe Rctiviry s�s <br /> Program <br /> Tit10 REPAIR 2206 WETMORE AVE 7701096i5 <br /> Work Order No 20110470 Project Activity Type SEP,VICE REDUEST Status c� <br /> Status 3/28/2011 Time os 3e Original WO _ ___ __ Billing _ <br /> Customer Information Customer ld <br /> CU£tomer Name 6EN (MR.ROOTER) <br /> Address Street <br /> Apartment No City <br /> State Z�p <br /> Subdivision Change Map Y/N <br /> Phone No ( 2ae ) as9-e7za Ext ___ _ __ _ _ __._ - -- <br /> Second Phone l 1 - Ext <br /> E-Mail Address - - — - - - -- <br /> Problem Information <br /> Address 2202 Street yyETMOREAVE <br /> From Cross Sireet <br /> To Cross Street ZiP <br /> City Map Book Map Reference <br /> Subdivision <br /> Problem SEWER SEWER <br /> Sub Problem SS SIDE SEWER Date Requested a�zsizo» <br /> Requested By MDC MCCONAGHY,DAVID C. <br /> Related Reauest 000sesa� <br /> Agency <br /> Initiated From PUBLIC P��8L1� Expiration Date <br /> Utiliry Locate (USA) No Called Date <br /> Assignment Information <br /> Dept PW PU6LIC WORKS Prioriry Estimated Hours <br /> Cf2W SCONST SEWER CONSTRUCTIONIGRENZNER) <br /> Con[racror <br /> ASSigned TO OBS OLHAVA, BRAD S. <br /> Assigned By A�A AHLES,GREGORY A. <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time ____ _ <br /> Route Route Sequence <br /> Comments <br /> Aclion Ta��en EXCAVATED SIDE SEWER TO PREVIOUS PLASTIC REPAIR. HOME OWNER CONNECTED TO <br /> PLASTIC AND WE BACKFILLED. <br /> ROCOfTltACtldOd AC[IOfI FEPAIR SIDE SEWER AND INSTALI CLEAN OUT <br /> Approved By oss o�r+nvF eRn�s Job Cost Information(Y/N) <br /> Time Date Completed a�aizott Permit No _ <br /> Start Date i � — -- --- <br /> Completed By Time Follow Up7 <br />