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Issued By oBs <br />Issued Department Pw <br />Date Issued 1/25/2016 <br />Fund ao� <br />Program <br />Work Activity Work Order <br />OLHAVA, BRAD S. <br />PUBLIC WORKS <br />Page 1 <br />9/14/2016 13:56 <br />Account s Program ��o Function �os Activity s�5 <br />Tltl@ REPLACE 3406 ROCKEFELLER AVE 710109675 <br />Work Order No 20160308 Project Activity Type SERVICE REQUEST <br />Status 1/25/2016 Time o�:2� Original WO Billing <br />Customer Information <br />Customer Name c.o.e. Customer ld <br />Address Street <br />Apartment No City <br />State Zip <br />Subdivision Change Map Y/� <br />Phone No ( ) - Ext <br />Second Phone ( ) - Ext <br />E-Mail Address <br />Problem Information <br />Address 3406 Street ROCKEFELLER AVE <br />From Cross Street <br />To Cross Street <br />City EVERETT Zip <br />Subdivision Map Book Map Reference <br />Problem SEWER SEWER <br />Sub Problem SS S/DE SEWER <br />Status c� <br />Requested By GCR GRENZNER, cHRis R. Date Requested 9/16/2015 <br />Agency Related Request 00145654 <br />Initiated From INTER INTERNAL <br />Utility Locate (USA) No Called Date Expiration Date <br />Assignment Information <br />Dept Pw PUBLIC WORKS Priority Estimated Hours <br />Cf2W 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 REPLACE 14' OF 8" MAIN AND SIDE SEWER TO 3406 ROCKEFELLER AVE. ASPHALT PATCHES <br />21'X3.5'X3" AND 7'X6'X3". <br />Recommended Action REPLACE SIDE SEWER FROM MAIN TO PROPERTY LINE. <br />Approved By LBM LESTER, aRiArv nn. Job Cost Information(Y/N) <br />Start Date i i Time Date Completed 1/25/2016 Permit No <br />Completed By Time Follow Up? <br />