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paae 1 <br /> Work Activity Wark Order 9/21/2013 �o:z5 <br /> ISSUBd By GCR GRENZNER,CHRIS R. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued ��zoizo�a <br /> Fund to� Acr,ount s Program �to Function toe Activity 675 <br /> Program <br /> Title REPAIR 707 48TH ST SE 710109675 <br /> Work Order No 20�3�4$$ PfOJ@Ct ACtlVlfy Typ2 SERVICE REQUEST $t2�US CL <br /> Status 7i2anot3 Time o�2o Original WO _ _ _ Billing _ ___ _ <br /> Customer Infonnation <br /> Customer Name CITIZEN Customer ld <br /> Address Street <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 Information <br /> Address �p� Street 48TH ST SE <br /> From Cross Street BLACK FOREST LN <br /> To Cross Street FOWLER AVE <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Proble�n SEWER SEWER <br /> Sub Problem SS SIDE SEWER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No 13'177737 Called Date Expiration Date <br /> Assignment Information <br /> Dept Pw PUBLIC WORKS Priority Estimated Hours <br /> CfOW SCONST SEWER CONSTRUCTION(GRENZNER) <br /> Contractor <br /> Assigned To oes OLHAVA, BRAD S. <br /> Assigned 8y GCR GRENZNER,CHRIS R. <br /> Assigned Date _ ___ _ To Be Comp Date _ _ _ <br /> Scheduled Date _.._ Scheduled Time ____ <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPLACED 707,704 48TH ST SE FROM MAIN TO PROPERTY LINE. <br /> Recommended Action REPAIR SIDESEWER <br /> Approved By oes o�Hnvn,ertao s. Job Cost Information(Y/N) _ <br /> Start Date � � Time _ Date Completed 712912013 Permit Nc <br /> --- <br /> Completed By Time Follow Up? __ ___ <br />