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ISSUed By AGA <br />Issued Departmentaw <br />Date Issued 6I2912010 <br />Fund aot <br />Program <br />NO MAT��IALS <br />Work Activity Work Order <br />AHLES, GREGORY A. <br />PUBLIC WORKS <br />Paqe 1 <br />9/B/2010 1'_:27 <br />Account 5 Program »o Function �og Activity b�a <br />TIfl2 REPAIR 505 WOOD PL 710109674 <br />Work Order No 20101589 Project Activity Type SERVICE REOUEST <br />Status ____ eneno�o_ Tim� 0836 Original WO Billing <br />Customer Iniormation <br />Customer Name RICHARD <br />Address Street <br />Apartment No Ciry <br />State Zip <br />Subdivision <br />Phone No ( 4z5 ) zsz•a�a� Ext <br />Second Phone ( ) - Ext <br />E-Mail Address <br />Problem Information <br />Address 505 Street yy00D PL <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision Map Book <br />Problem SEWER SEWER <br />Sub Problem MAIN MAINS <br />Requested By MBR MOSS, BRIAN R. <br />Agency <br />Initiated From PUBLIC PUBLIC <br />Utility Locate (USA) No �ot3asa5 Calied Date <br />Assignment Information <br />D2pl PW PUBLIC WORKS <br />CfeW SCONST SEWER CONSTRUCT�ON (AHLES) <br />Contractor <br />Assigned Ta OBS OLHAVA, BRAD S. <br />Assigned By AGA AHLES, GREGORY A. <br />Assigned Date To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Customer ld <br />Zip <br />PfiOflry <br />Change Map YIN <br />Status c� <br />Map Reference <br />Date Requested 6H612010 <br />Related Request ooaasosa <br />Expiration Date <br />Estimated Hours <br />Action Taken E%CAVATED OVER SINK HOLE. FOUND OLD ROTfING WOOD. FILLED HOLE BACK IN. <br />ROCOfI1fI7Btld0d ACtlOtl OIG OUT CAVE•IN AND SEE WHAT PROBLEM IS <br />Approved By OBS OLHAVA, BRAD S. <br />Start Date i i Time <br />Completed By _ <br />Job Costlnformation(Y/N) <br />Date Completed ene�so�o Permit No <br />Time Follow Up? <br />\I � <br />