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N� MAT��IALS ' <br /> Wcsrk Activity Work Order page � <br /> 1/19/2011 15:16 <br /> — -- � ------.. .. _.------� —�---- — <br /> ISSUOd By AGA AHLES,GREGORY A. <br /> Issued Departmentaw PUBLICWORKS <br /> Date Issued 9I22/2010 <br /> Fund qo� Accounts Program �to Function �09 Activity 675 <br /> Program <br /> TIll2 REPAIR 10612 tOTH DR SE 710109675 <br /> Work Order No 20102491 PfOJBCf Activity Type CORRECTIVE MAINTENANCE $10fUS CL <br /> Status ___ e�z2izoio Time o�:aa Original WO __ Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> AddfE55 10612 Sffe2f 10TH DR SE <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( ) - Ext — <br /> E-Mail Address <br /> Froblem Information <br /> Address �pg�y Street �OTH DR SE <br /> From Cross Street <br /> To Cross S!reet <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem SEWER SEWER <br /> Sub Problem SS SIDE SEWER <br /> Requested By sdrz SPOONER,JAMES T. D8f0 RBqU@3ted <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No �oza�oas Called Date Expiration Date <br /> Assignment Information <br /> Dept Pw PUBLIC WORKS Priority Estimated Hours <br /> CfBW SCONST SEWER CONSTRUCTION(AHLES) <br /> Contractor <br /> Assigne� To oss OLHAVA, BRAD S. <br /> Assigned By AGA AHLES,GREGORYA. <br /> Assigned Date To Be Comp Dat= <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken EXCAVATED SINK HOLE.REMUD�ED SIDE SEWER AND FILLED WITH CDF. <br /> R@COOl078ftd0d ACHOf1 EXCAVATE CAVE•IN AND REPAIR PROBLEM <br /> Approved By oes o�HqvA,sRno s. Job Cost Information(Y/N) <br /> Start Date _i i__ Time __ __ _ Date Completed i��ynoio Permit No <br /> Completed By _ _ _ _ _ _ _ Time Follow Up? <br />