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Work Activity Work Order <br />ISSUed By AGA AHLES, GREGORY A. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued �nvzoti <br />Fund ao� Account s Program �to Function ioe <br />Program <br />T1110 REPAIR 1510 i7TH ST 710709671 <br />Work Order No 20110427 Project Activity Type SERVICE REQUEST <br />Status 3n2non Time o5:5i _Original WO Billing <br />Customer Information <br />Customer Name SULLIVAN, MARY <br />Addf055 1706 SIfFB�COLBYAVE <br />Apartment No ���Y <br />State Z�r� <br />5ubdivision <br />Phone No ( azs ) aas•s2ss Ext <br />Second Phone ( > - Ext <br />E-Mail Address <br />Problem Information <br />Address �70g Sireet COLBYAVE <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision Map Book <br />Problem SEWER SEWER <br />Sub Problem <br />Requested By HSR HOFFMAN, STE:VEN R. <br />Agency <br />Initiated From PUBLIC PUBLIC <br />Utility Locate (USA) No 71035745 Called Date <br />Assignment Information <br />Dept PW PUBLIC WORKS <br />CfBW SCONST SEWER CONSTRUCTION (AHLES) <br />Contractor <br />Assigned To OBS OLHAVA, BRAD S. <br />Assigned By AGA AHLES, GREGORY A. <br />Assigned Date _____ To Be Comp Date _ <br />Scheduled Date Scheduied Time <br />Route Route Sequence <br />Comments <br />Customer ld <br />Change Map Y/N <br />Page 1 <br />5/7/2011 16:20 <br />Activity e�t <br />S�2tUS CL <br />Zip <br />Map Reference <br />Date Requested vzaizo�i <br />Related Request 000esoea <br />Expiration Date <br />Priority Estimated Hours <br />Action Taken REPLACED BRICK MAN HOLE WITH NEW CAST CONCRETE AND PAMREX RING 8 LID. <br />Recommended Action REPAIR MH/REPLACE IF NECESSARY <br />Approved By oes OLHAVA, BRAD S. JOb COS1 Ifl(ORT18l10f1(YIN) <br />Start Date � I Time Date Compieted 3m�2oi� Permit No__ <br />— -- — ---- — <br />Completed By _ _____ _________ Time __ Follow Up? <br />