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NO MATERIALS <br /> Work Activity Work Order Page 1 <br /> 4/27/2012 11:30 <br /> ISSUed By AGA AHLES,GREGORY A. <br /> Issued Depa�tment Pw PUBLIC WORKS <br /> Date Issued a�5�2o�z <br /> Fund not Account s Program »o Function �zs Activity s�t <br /> Program <br /> Title ADJUST 3232 26TH ST 710123677 <br /> Work Order No 20120541 Project Activity Type CORRECTIVE MAINTENANCE S18�U5 CL <br /> Status a�s�zo�z Time �o:a6 Original WO Billing <br /> Customer Information Customer ld <br /> Customer Name <br /> Address 3232 Street 2s7H s7 <br /> Apartment No City <br /> State Z�P <br /> Subdivision • Change Map YIN <br /> Phone No ( ) • Ext <br /> Second Phone ( 1 - Ext <br /> E-Mail Address <br /> Probiem Information <br /> Adc+,ess 3Y8Y Street p6THST <br /> Fr�m Cross Street <br /> 1 o Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem DRA/N DRAINAGE <br /> Sub Problem CB'S ALL CB �XCEPT CLEAN Date Requested <br /> Requested Ey Related Request <br /> Agency <br /> Initiated From Ex iration Date <br /> Utility Locate (USA) No Called Date P <br /> Assignment Information <br /> Dept Pw Pueuc woRKs Priority Estimated Hours <br /> CteW SCONST SEWER CONSTRUCTION(AHLES) <br /> Contractor <br /> Assigned To IJM IMHOF,JAMES M. <br /> Assigned By AGA AHLES,GREGORY A. <br /> Assigned Date _ To Be Comp Date _ <br /> Scheduled Date _ Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken U�COVERED MANHOLE AND RAISED 121NCHE5 TO SURFACE.PLACED TOPSOIL AND GRASS <br /> SEED.GRADED TO EXISTING LAWN• <br /> RCCOR1R18fldBd ACtlOfi AD.IUST UNKNOWN CB TO SURFACE <br /> Approved By i�nz IMHOF,JAMES M. JOb COSt IflfOffTlBilOf1(Y/N� <br /> Start Date i i Time Date Completed aiei2o�2 _ Permit No <br /> Completed By Time Foliow Up7 <br />