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Work Activity Work Order <br />ISSUBd By AGA AHLES, GREGORY A. �� <br />Issued DepartmentPw PUBLICWORKS <br />Date Issued �y�sno�o <br />Fund ao� Account5 Frogram »o Function izs <br />Program <br />Title REPLACE 88227TH AVE W 770123673 <br />Work Order No 20102756 Project Activity Type SERVICE REQUEST <br />Status �2nsizoio Time os:5a Original WO Billing <br />Customer Information <br />Customer Name LUNDER, TODD <br />Address sezz Street �TH ave w <br />Hpartment No City <br />State Zip <br />Subdivision <br />Phone No ( a2s ) zeo-aasa [xt <br />Second Phone l ) - Ext <br />E-f�^�I Address <br />Proble,:� Information <br />Address g82z Sireet 7TH AVE W <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision Map Book <br />Problem DRAIN DRAINAGE <br />Sub Problem DL DRA/N LINES <br />Requested By HSR HOFFMAN, STEVEN R. <br />Agency <br />Initiated Frorn PUBLI(' PUBLIC <br />Utility Locate (USA) No �ozs3aos CalleJ Date <br />Assignment Information <br />Dept Pw PUBLIC WORKS <br />CfOW SCONST SEWER CONSTRUCTION (AIiLES) <br />Contractor <br />Assigned To IJM IMHOF, JAMES M. <br />Assigned By AGA AHLES, GREGORY A. <br />Assigned Date ___ ____ To Be Comp Date <br />Sc`�eduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Page 1 <br />2/1/2011 9:93 <br />ACflVlfy 673 <br />Status cL <br />Customer ld <br />Change Map YIN <br />Zip <br />Map Reference <br />Date Requested 313112010 <br />Related Request 000a�z�o <br />Expiration Date <br />Priority Estimated Hours <br />Action Taken INSTALLED 17' PVC 12" THROUGH DRIVEWAY. PRE? FOR ASPHALT. <br />Recammended Action REPLACE DRAIN LINE UNDER DRIVE WAY. NO TUMMS ID # <br />Approved By ��M IMHOF, JAMES M. <br />Start Date � I Time <br />Completed By <br />Job Costlnformation(Y/N) <br />Date Completed i�er2oii <br />Time Follow Up? <br />Permit No <br />