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Work Activity Work Order Page 1 <br /> 7/30/2010 I5:11 <br /> ISSUOd By AGA AHLES,GREGORY A. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued v2a�zoto <br /> Fund aat Account 5 Program ��o Function �09 Activiry 675 <br /> Program <br /> TItl2 REPLACE 4001 SMITH AVE 710109675 <br /> Work Order No Z��Q�2�6 PfOf8C1 Activity Type CORRECTIVE MAINIENANCE $tO�US CL <br /> Status v2�no�o Time tooa Original WO Billing _ _ _ _ ___ <br /> Customer Iniormation <br /> Customer Name Customer ld <br /> Address qoot Street SMirti nve <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( ) - Ext <br /> Second Phone ( > - Ext -- <br /> E-Mail Address <br /> Problem Iniormation <br /> Address 4001 Street SMITH AVE <br /> From Cross Street <br /> To Crass Streel <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem SEWER SEWER <br /> 5ub Problem SS SIDE SEWER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No �aa�tzzz Called Date Expiration Date <br /> Assignment Information <br /> Dept Pw PUBLIC WORKS Priority Estimated Hours <br /> CfOW SCONST SEWER CONSTRUCTION(AHLES) <br /> Contractor n <br /> Assigned To IJM IMHOF,JAMES M. REC V RDS <br /> ASSlq�ed By AGA AHLES,GREGORY A. <br /> Assigned Date _ _ To Be Comp Date AUG 0 4 2010 <br /> Scheduled Date Scheduled Time _ <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPAIR SIDE SEWER f'ROM MAIN TO PIL. INSTAILED CLEAN OUT @ PROPERN IINE. <br /> Recommended Action REPLACE SIDE SEWER FROM MAIN TO P!L <br /> Approved By IJM IMHOF,JAMES M. JOb COS�I(1fORT18110ft(Y/N� <br /> Start Date � i Time Date Completed �5�zo�o Pertnit No <br /> Completed By_- - - --- ---- -_ -- Time _ _ Follow Up7 -- <br />