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Work Activity Work Order �die 1 <br /> iG�30�2013 �i5:29 <br /> Issued By GCR GRENZNER,CHRIS R. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 9/4/201J <br /> Fund ao� Account s Program »o Function ioe Activity e�s <br /> Program <br /> Tifl@ REPAIR 2909 12TH ST 710709675 <br /> Work Order No 20132566 Project Activity Type SERVICE REQUEST Status c� <br /> Status s�a�zois Time �50� Original WO Billing _ _ _ _ _ _._____ __ _ _____ <br /> Customer Information <br /> Customer Name KLEIN,JIM Customer ld <br /> Address 2eos Street �zrH sr <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( a25 ) z�o-osoe Ext <br /> Second Phone ( > - Ext -- <br /> E-Mail Address ______ _ ____ <br /> Problem Information <br /> Address Zgpg Street �yTHST <br /> From Cross Street <br /> To Cross Street <br /> City ZiF <br /> Subdivision Map Book Map Reference <br /> Problem SEWER SEWER <br /> Sub Problem SS SIDE SEWER <br /> Requested By HSR HOFFMAN,STEVEN R. D8�@ R0GU8S�2d 81912013 <br /> Agency Related Request oo�z2sso <br /> Initiated From PUBLIC PUBLIC <br /> Utility Locate (USA) No t�znz52 Called Date Expiration Date <br /> Assignment Information <br /> Dept aw PU9LIC VJORKS Priority Estimated Hours <br /> Cf@W SCONST SEWER CONSTRUCTION(GRENZNER) <br /> Conhactor <br /> Assigned To IJM IMHOF,JAMES M. <br /> Assigned By GCR GRENZNER,CHRIS R. <br /> � Assigned Date ____ To Be Comp Date _ _ _ <br /> Scheduled Date __ _ Scheduled Time _ <br /> Route Route Sequer.ce <br /> Comments <br /> Action Taken REPAiRED FIPE AND CLEANOUT. INSTALLED LA�dP POI.E COVER AT CLEANOUT AND ASPHALT <br /> SHOULDER.PREP FOR ASPHALT?ATCH. <br /> R8COt11RlBfldOd ACtlOfl INSTALL CLEAN OUT <br /> Approved By t�m IMHUF,JAMES M. JOb COS[ IflfOflllBllOf1(YIN� <br /> Start Date i � Time Date Completed g�9no�3 ____ Permit No <br /> Completed By Time Follow Up? <br /> _ ____-�- i�� <br />