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�� ' Y r � ... .. . <br /> ��,�� ¢ � ��a���� <br /> Work Activit�� Work Order Page � <br /> 10/29/2010 9:46 <br /> ISSU2d By AGA � AHLES,GREGORY A. � <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued 9/3012010 <br /> Fund aoi Account 5 Program ��o Function toe Activity 6» <br /> Program <br /> Title REPAIR 2709 12TH ST 710109671 <br /> Work Order No 20102526 PfOJOCI Activity Type CORRECTIVE MAINTENANCE S`;d1US CL <br /> Status vao�zoio _Time o�oe _ Original WO _ ___ _ Billing_ _ ___ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address 2�,:� Street �zrtisT <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( > - Ext <br /> Second Phone ( > - Ext �-- - ----— <br /> E-Mail Address <br /> Problem Information <br /> Address y7pg Street �ZTH ST <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem SEWER SEWER <br /> Sub Prablem MANHOL MANHOLES <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Pw PUBLIC WORKS Priority Estimated Hours <br /> C�2W SCONST SEWER CONSTRUCTION(AHLES) <br /> Contractor <br /> Assigned To oes OLHAVA,BRAD S. <br /> Assigned By AGA AHLES,GREGORY A. <br /> Assigned Date _ ____ _. To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Raute Route Sequence <br /> Comments <br /> Action Taken CHANNELED MAN HOLE. <br /> RBCOti1R1eI1dCd AC�IOtI REFORM CHANNEL IN MH <br /> Approved By oes o�Havn,eruo s. Job Cost Information!YIN) _ <br /> Start Date � � Time Date Completed 9130/2010 Permit No _ <br /> -- — <br /> Completed By Time Follow Up? <br /> - --- \� <br />