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ISSUed By AGA . <br />Issued Departmentaw <br />Datelssued venoio <br />Fund 40� <br />Program <br />Work Activity Work Order <br />� AHLES, GREGORY A. <br />PUBLIC WORKS <br />Account s Program »o <br />Function toe <br />?=c- - <br />zie�zo�_3 a:a= <br />Activiry srs <br />Title REPLi,CE 3007 78TH ST 710109675 <br />Work Order No 20100104 Pf0J0Ct Activity Type CORRECTIVE MAINTENANCE S18tU5 CL <br />Stat!u veizoio Time �o:z� Original WO ___ Billing_ _____ <br />Customer Information <br />Customer Name <br />Address 300� Street �arH sr <br />Apartment No City <br />State Z�P <br />Subdivision <br />Phone No ( 1 - Ext <br />Second Phone ( ) • Ext <br />E-Maii Address <br />Problem Information <br />Address 3007 Street 18TH ST <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision Map Book <br />Problem SEWER SEWER <br />Sub Problem SS SIDE SEWER <br />Requested By <br />Agency <br />Initiated From <br />Utilliy Locate (USA) No i000te3s Called Date <br />Assignment Information <br />Dept Pw PUBLIC WORKS <br />CfOW SCONST SEWER CONSTRUCTION (GRENZNER) <br />Contrdctor <br />Customer ld <br />Zip <br />Priority <br />Change Map YIN <br />Map Reference <br />Expiration Date <br />Assigned To IJM IMHOF, JAMES M. <br />Assigned By AGA AHLES, GREGORYA. <br />Assigned Date ________ To Be Comp Date <br />Schedwed Date ___ Scheduled Time __ __ <br />Rcute Route Sequen�.ce <br />Comments INVENTORY MATERIAL IN THE AMOUD7TOF 5165.91 WAS JOURNAlIZED <br />IN 2010 <br />Date Requested <br />Related Request <br />Estimated Hours <br />Action Taken REPLACED SIDE SEWER FROM MAIN TO PIL. CO @ P/L. CONNECTION IS FOR BOTH 10U3 8 <br />3007 18TH ST. MAIN 9 FEET DEEP. SS@PIL 8 FEET DEEP. <br />Recommended Action REPLACE SIDE SEWER FROM MAI�d TO PIL <br />