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Work Activity Work Order Page 1 <br /> 12/13/2021 12:21 <br /> Issued By OBS OLHAVA,BRAD S. <br /> Issued Department PW PUBLIC WORKS <br /> Date Issued 2/17/2021 <br /> Fund 401 Account 5 Program 710 Function 123 Activity 673 <br /> Program <br /> Title REPLACE 2016 JEFFERSON PL 710123673 <br /> Work Order No 20210825 Project Activity Type SERVICE REQUEST Status cL <br /> Status 2/17/2021 Time 07:19 Original WO Billing <br /> Customer Information <br /> Customer Name KAZAKOS,THEODOROS(LAKI) Customer Id <br /> Address 2016 Street JEFFERSON PL <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( 206 ) 595-8884 Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 2016 Street JEFFERSON PL <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem DRAIN DRAINAGE <br /> Sub Problem <br /> Requested By BML BAUER,MACKENSY L. Date Requested 6/18/2020 <br /> Agency Related Request 00196148 <br /> Initiated From PUBLIC PUBLIC <br /> Utility Locate(USA) No 21047999 Called Date Expiration Date <br /> Assignment Information <br /> Dept PW PUBLIC WORKS Priority Estimated Hours <br /> Crew SCONST SEWER CONSTRUCTION(OLHAVA) <br /> Contractor <br /> Assigned To SCM1 SUNDBERG,CURT M. <br /> Assigned By OBS OLHAVA,BRAD S. <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments INVENTORY MATERIAL IN THE AMOUNT OF$2430.63 JOURNALIZED IN <br /> 2021. <br /> Action Taken INSTALLED NEW 12"PVC DRAINLINE <br /> Recommended Action REPLACE PRIVATE DRAINAGE OUTFALL. <br /> Approved By SCM1 SUNDBERG,CURT M. Job Cost Information(Y/N) <br /> Start Date / / Time Date Completed 12/13/2021 Permit No <br /> Completed By Time Follow Up? <br />