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� <br /> V�Jork Activity Work Order <br /> Issued By AGA AHLES,GREGORY A. <br /> �ssued Department Pw PUBLIC WORKS <br /> Date Issued sra�zooe <br /> Fund oo� Account s Program �io Funclion tos Activity s�s <br /> Program <br /> TIIIC REPLACE 1411 36TH ST 710109675 <br /> Work Order No 20090527 Project Activity Type cofeaecnve�,�nwreNnrice Stalus c� <br /> Status swi2oos Time or.n Original WO Billing <br /> Customer Information <br /> Customer Name Cuslomer ld <br /> Addf2SS 1411 SffeCl36THST <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ? - Ext <br /> Second Phone 1 1 - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address �qi� ?���'�� 36THAVEN <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map 800k Map Re(erence <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate(USA)No sosass33 Called Dale Expiration Date <br /> Assinnment Infomiation <br /> Dept Pw PUouC WoaKs Priority Estimated Hours <br /> CfeW SCONST SEWER CONSTRUCTION(AHLES) <br /> COf1lf8CfOf <br /> ASSi9nBd TO DJM �ENNIS,JAIr1ES f,1 <br /> ASSi9f1@d By AGA AHLES.GREGORI'A. <br /> Assigned Date To E3e Comp Date <br /> Scheduled Date Scheduled Time <br /> Raute Route Sequence <br /> Comments <br /> Action Taken REPLACED SIDE SEWER FROM MAIN TO PROPERTY LINE.CLEAN OUT AT PROPERTY LINE. <br /> ASPIIALT 1D'X 12'X 1" <br /> RecOmmehded ACtIOn RCPLACE SIDE SEWER AND�ROKEN SECTION OF AtAIN <br /> Approved By o�M DENNIS,.IAMES M. Job Cost Info�mation(Y/N) <br /> Slart Dale � � Time Date Compleled ensnoo� Permit No <br /> Completed By Time Follow Up? �\ <br /> ��/ <br />