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NO M��i'E �!A' � <br />Work Activity Work Order <br />Issued By AGA AHLES, GREGORY A. <br />IssuEd Department vw PUBLIC WORKS <br />Date Issued ensim�o <br />Fund eot Account s Program »o Function tza <br />Program <br />TIIIC REPAIR 215 74TH ST SW 71012367J <br />Work Order No 20102319 Project Activity Type SERVICE REOUEST <br />Status ene�zoto Time i� �a Original W0 Billing <br />Customer Informatio� <br />Customer Name KELSO, TOM <br />Address Strect <br />Apartment No City <br />State Z�P <br />Subdivision <br />Phone No ( 1 • Ext <br />Second Phone ( 1 • Ext <br />[-Mail Address <br />Probiem Inionnatlon <br />Address Y15 Streel 74TH ST SW <br />From Cross Street <br />To Cross Street <br />Cdy <br />Subdivision blap Book <br />Problem DRAIN DRAINAGE <br />Sub Problem <br />Requested By HSR F10FFMAN, STEVEN R <br />�gency <br />Iniliated From PUBLIC PUOLIC <br />Utillty Locate (USA) No tot�oos� Called Dale <br />Assignmont Informalion <br />Dept Pw PUBLIC WORKS <br />C�CW SCONST S[WBRCONSTRUCTION(AHLES) <br />Contractor <br />Assigned To IJM IMHOF, JAMES M <br />Assigned By AGA AHLES, Gf2EGORV � <br />A�signed Dale To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Customer ld <br />�,hange Map Y/N <br />�.��� � <br />�,���,����� ��:�� <br />Activity s» <br />Status a <br />Zip <br />Map Reference <br />Date Requested nzsnoto <br />Related Request auo9ooa� <br />Expiration Date <br />Prionry Estimated Hours <br />/lctfon Taken DISCOVERED BA� NANCOR BAND ON 72" ORAM UNE. REPLACEU 47" OF PIPE. <br />BACHFILLED WIGRAVEL. COMPACTED AND PREPARED FOR ASPHALT AND CURB & GUTTER. <br />RBCOfT101CfIdCd ACHOf1 [);CAVATE CAVC�IIJ, DETCRMINE PROOLCM AND FI% <br />Approved By IJM IMHOP, JAMES M <br />Start Date i i Time Date Completed <br />Completed By Tirtie <br />Job Cost Information(Y/N) <br />101251Y910 <br />Foltow Up? <br />Permit No <br />