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0 <br />Work Activity Work Order <br />Page 1 <br />5/31/2005 8•29 <br />- - -- -------- ._ .___.. ----------------------- ----- ---- -- � - . <br />ISSued By AGA AHLES,GREGORY A. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued azsnoos <br />Fund qp� Fund 5 Program »o Function toe <br />Program Function Activity <br />TINB REPLACE 3013 19TH ST 710109675 <br />Work Order No 20050431 project Activity Type SERVICE REOUEST <br />Date _ a�z3i2oos Timeos:zs Original WO Billing <br />Customer Information <br />Customer Name DEROUSSE, JOHN <br />Address 3013 <br />Apartment No <br />State <br />Subdivision <br />Phone No ( ) - <br />Second Phone ( ) - <br />E-Mail Address <br />Problem Information <br />Address 3013 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Street �erH sr <br />City <br />Zip seao� <br />Ext <br />Ext <br />Street �9TH ST <br />Map Book <br />Problem SEWER SEWER <br />Sub Problem SS SIDE SEWER <br />R:quested By CF CHRISCADEN, FRED <br />A;;ency <br />Initiatad From PueLic Pusuc <br />Utiiity Locate (USA) No Called Date <br />Assignment Intormation <br />Oept <br />CfOW SCONST SEWER CONSTRUCTION(AHLES) <br />Contraclor <br />Assigned To PwR <br />Assigned By <br />Assigned Date <br />Scheduled Date <br />Route <br />Comments <br />PUGSLEY, WILL�AM R. <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Change Map Y/N <br />Zip sezot <br />Map Reference <br />Activiry 873 <br />Status �t, <br />Dat� Requested M15naos <br />Related Request 0004�eo3 <br />Expiration Date <br />Priority Estimated Hours <br />ACtlOtl TBkB� REPLACED SIOE SEWER FROM MAIN TO PROPERTY LINE. REPLACED MAIN. <br />COfilplBled By q�p AHLES, GREGORY A. <br />Start Date � I Time <br />_---- - <br />Appreved By <br />Problem Detaiis <br />Job Costlnformation(YIN) <br />Date Complated �3noa5 RE/�c� <br />—�. V � _ -- - <br />Follow Up? _ _ Permit No <br />JtJN 1- 5 2pp5- <br />