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Work Activity Work Order <br />ISSU@d By AGA � AHLES, GREGORY A. <br />Issued DepartmentPw PUBLICWORKS <br />Date Issued aiz�no�� <br />Fund aot Accounts Program �to Function toe <br />Program <br />Tlfl@ REPAIR 6320 WETMORE AVE 710109675 <br />Work Order No 20110706 Project Activity Type SERVICE REQUEST <br />Stalus annzon Time ts:aa Originai WO ____ Billing _ <br />Customer Information <br />Customer Name Puo, MIKE <br />Address Street <br />Apartment No Ciry <br />State Z�P <br />Subdivision <br />Phone No ( a2e 1�ea-es�s Ext <br />Second Phone ( 1 • Ext <br />E-Mail Address <br />Problem Information <br />Address Slreet yyETMOREAVE <br />From Cross Street LEXINGTON AVE <br />To Cross Street <br />City <br />Subdivision Map Book <br />Problem SEWER SEWER <br />Sub Problem SS SIDE SEWER <br />Requested 8y HSR HOFFMAN, STEVEN R. <br />Agency <br />Initiated From PUBLIC PUBLIC <br />Utility Locale (USA) No Called Date <br />Assignment Informati�n <br />Dept Nw �uouc woRKs <br />CfeW SCONST SEWER CONSTRUCTION (AHLES) <br />Contraclor <br />Assigned To ��M IMHOF, JAMES M. <br />Assigned By AGA AHLBS, GREGORY A <br />Assigned Date To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Page 1 <br />5/16/2011 19:43 <br />ACfIVIry 675 <br />$t8iU5 CL <br />Customer ld <br />Change �9ap Y/N <br />Zip <br />Map Reference <br />Date Requested ann2ot� <br />Reiated Request 000e�e�s <br />Expiretion Date <br />Priority Estimated Hours <br />Action Taken REPAIR 6" SEWER LATERAL. REPLACED BROKEN 6" CONCRETE WI 5' • 6" PVC. <br />Recor�imended Action REPAIR SIDE SC-WER AT PROP LINE <br />Approved Dy IJM IMHOF, JAMES M. JOb COSI IflfOffllell0fl(YIN) <br />Start Date i � Time Date Completed snano�� Permit No <br />Completed By Time Follow Up? _ <br />