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Work Activity 6Nork Order Page 1 <br /> 5/21/20i3 9:02 <br /> Issued By GCR GRENZNER,CHRIS R. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 71512013 <br /> Fund ao� Account s Program �to FLnction toe Activity 675 <br /> Program <br /> 1�If�B REPAIR 4902 23RD AVE W 710123675 <br /> Work Order No 2013i402 Project Activity Type SERViCE REQUEST Status c� <br /> Status 7l5/2013 Time i�:3o Original W0 Billing <br /> Customer Information <br /> Customer Name ROSENCRhNS,onvE Customer ld <br /> Address aeoz Street zarto nve w <br /> Apartment No City <br /> State Z�p <br /> Subdivision Change Map Y/N <br /> Phone No ( a25 ) 513-9329 Ext _ ______ <br /> Second Fhone ( ) • Ext <br /> E-Mail Address ___ <br /> Problem Information <br /> Address qgpp Street y3RD AVE W <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem SEWER SEWER <br /> Sub Problem SS S/DE SEWER <br /> Requested By HSR HOFFMAN, STEVEN R. D8f8 RBGUBStOd 71712013 <br /> Agency Related Request 00127333 <br /> Initiated From AOMIN ADMIIJISTRATION <br /> Utility Locate (US�) No 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 By 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 REPAIRED AND INSTALLED CLEAhOU"!FROM M/.IN 5'TOWARDS HOUSE. <br /> RBCORIfT18�dCd ACt1011 REPAIR SIDE SEWER <br /> Approved By oes o�HAVA,sRno s, Job Cost Information(YiN) _ <br /> Start Date i � Time _ _ _ Date Completed nsizois Permit No <br /> — _ _____ <br /> Completed By _ _ _ Time Follov� Up?_ <br /> . <br />