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��f � r �r/�1i11�'x �yNf�+Fsi`. � r. ���as f � ':p k ..c _ . ii tt , vtf�r �?��'� 1 � tt� �11�!�,� !k'{ <br /> � ' ��1 � i 2 �' k .�� p t �,� f�(tt � r tl �� a <br />� � Y' 7� f. Y� ,,t� � . r it tN j N q � "� Y� �/ � E� ut nR <br /> C4 F � � �r �.�: ��c t�i�u$� � :�� .t,d'�r • s,r� � ir :Cr r � Pe'd�v 4 �^: �k , C � (�d'.�i i{� t�wS <br /> t1 r Q , .. .t t� ', L ��o-r�����r4 dz f ,� i.. F.� {�Pr����� .��� .�� � � .�� ���?ti(t1�,����� <br /> rr . . �� . ,� w1• `� � .� ! �t�''7 � � � � I �k�ifryta'f <br /> i . , rfi F v) +�. <br /> . . . . .. . . :.>„ � <br />�g�� . ... :;� <br />{f : <br /> 'll' <br />� '��F <br /> } t�:. <br />� ,�) � ,': <br /> i <br />�,. �f��� `� <br /> y 4 i ` � <br />/ �S�f�ji�j vi lii � ...i,... 4� 6!.� , . . . . . .._ _ _� . .: . .� . <br /> i " '-- <br /> ; . <br />� S� `rii: -- -- - - <br />; ,�'+"r,��.� ,�,,��� �y A�:. AHLES,GREGORYA. <br /> E"<� �ued Department Pw PUBLIC WORKS <br /> Date Issued e�zsnot� <br /> Fund ao� Account 5 Program »o Function �09 Activiry a�s <br /> Program <br />�-/%��,r:'"'"���� REPLACE 141a 36TH ST 770109675 <br />� , „� - Title <br /> r1,r' . Work Order No 20110975 Project Activity Type SERVICE REQUEST tatus a <br />�; ' Status si2snoii Time o�:�a Original WO Billin _ ______ _ _ _ _ <br /> a; � .___—. ._._ — <br /> ---- — ---9 — <br /> i <br /> Customer information <br /> Customer Name FORo,MAX Customer ld <br /> Address tata Street asrH sr <br /> Apartment No ���Y <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( azs ) 268-3365 Ext <br /> Second Phone � � • Ext <br /> t-Mail Address _ _ . __ _ - <br /> Problem Information <br /> Address �q�q Street 36TH ST <br /> From Cross Street <br /> To Cross Street <br /> .... f�a City Zip <br /> ` ' ' Subdivision Map Book Map Reference <br /> �� <br /> �r,({�� ,'. ,7 Problem SEWER SEWER <br />' 'y�" Sub Problem SS SIDE SEWER <br />!t,�.:. �.? . <br /> Requested By GMA7 GGGAL M17ARJORIE A D2fE RPql1B5fBd 6121/2011 <br /> E l > Agency Related Reauest o�ioesaae <br /> a,e`�"� �'�;{ initiated From PUBLIC PUBLIC <br /> `r s .'� Utility Locate(USA) No 11132890 Called Date Expiretion Date <br /> x�' �`"'�� Assignmentlnformation <br />!•? Dept Pw PUBLIC WORKS Priority Estimated Hours <br /> "�.� � , CfOW SCONST SEWER CONSTRUCTION(GRENZNEFI <br /> v�^.�� Contractor <br /> �"'�_�� Assigned To OBS OLHAVA.BRAD S. <br /> AGA AHIES, GREGORYA. <br /> �` Assigned Date ____ _ To Be Comp Date <br /> � Scheduled Date __ Scheduled Time _____ _ <br /> Route Route Sequence <br /> Comments INVENTORY MATERIAL IN THE AMOUNT OF 5206.97 WAS JOURNALIZED <br /> IN 2011 <br /> Action Taken REPLACED SIDE SEWERS 1414 36TH ST AND 3604 HOYT AVE FROM MAIN TO PROPERTY LINE. <br /> Recommended Action REPLACE SIDE SEWERS FOR 1414 36TH ST AND 3604 HOYT AVE <br /> Approved By oBs o�HAvn, e�tao s. Job Cost Informatior(Y/N) <br /> Start Date � � Time Date Completed v�s�zot3 Permit No <br /> � ',� � :` ..�-c - " 1 : <br /> �� ..��r�Y`'�'�u^".'.�r'.."'�'-�uY�^�� adi 9Sn' -..ib ,��� ..i�fi•� .S� ..�'1 ' rf <br />