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Work Activity Work Order <br />Issued By OBS OLHAVA, BRAD S. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 12/29/2015 <br />Fund ao� Account 5 Program ��o Function �os <br />Program <br />Title REPAIR 1907 37TH ST 710109671 <br />Work Order No 20152815 Project Activity Type SERVICE REQUEST <br />Status 12/29/2015 Tlll'18 14:44 Original WO Billing <br />Customer Information <br />Customer Name BARTLOW, PAUL <br />Address 3601 Stf@2t ROCKEFELLER AVE <br />Apartment No City <br />State Zip <br />Subdivision <br />Phone No ( 425 ) 339-5133 EXt <br />Second Phone ( ) - Ext <br />E-Mail Address <br />Problem Information <br />Address 1907 Street 37TH ST <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision Map Book <br />Problem STREET STREETS <br />Sub Problem <br />Requested By MCL1 MALLAND, CHAD L. <br />Agency <br />Initiated From PUBLIC PUBLIC <br />Utility Locate (USA) No Called Date <br />Assignment Information <br />Dept PW PUBLIC WORKS <br />Cf@W SCONST SEWER CONSTRUCTION (OLHAVA) <br />Contractor <br />Assigned To LBM LESTER, BRIAN 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 <br />Action Taken REPAIRED HOLE IN SMH2995N15 <br />Recommended Action REPAIR SMH2995N15 <br />Approved By LBM LESTER, BRIAN M. <br />Start Date � � Time <br />Completed By <br />Customer ld <br />Change Map Y/N <br />Page 1 <br />7/18/2016 12:53 <br />Activity s�� <br />Status c� <br />Zip <br />Map Reference <br />Date Requested 12/28/2015 <br />Related Request oo�aa�so <br />Expiration Date <br />Priority Estimated Hours <br />Job Cost Information(Y/N) <br />__ _ <br />Date Completed 1/19/2016 Permit No <br />_ _ _ __ <br />Time Follow Up? <br />