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k Order `''°P ' <br /> Work l�ctivity Wo� �,1,,,,1., 1�:4� <br /> Issued By GCR (iRENZNER,CHRIS R. <br /> Issued Departmentaw rueuc:woaKs <br /> Date Issued t2nmat� <br /> Fund aot Accounl s Program »o Function �09 Aclivity s�5 <br /> Progrem <br /> TIII2 REPAIR 2301 CALIFORNIA ST 710109675 <br /> WOfk Ofdef NO 20133934 PfOJECI Activity Type SERVICE REQUEST St8IU5 CL <br /> StaWs �vz�noia Time �oza OriginalWO �illing <br /> Customer Information <br /> Customer Name MARK DOUCETTE Cuslomer ld <br /> Address Street <br /> Apariment No City <br /> State Z�p <br /> Subdivision Chanye Map Y/N <br /> Phone No l i • Ext <br /> Second Phone 1 1 - Ext <br /> E-Mail Address <br /> Problem Iniormation <br /> Address 2301 Slreel CALIFORNIA ST <br /> From Cross Street RAINIER AVE <br /> To Cross Streel <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem SEWER SEWER <br /> Sub Problem SS SIDE SEWER <br /> Requested By DMJ DOUCETT[,MARK J Date Requested 101812017 <br /> Agency Related Request oo�24ioo <br /> Initiated From INTER WTERNAL <br /> Utiliry Locate(USA) No 1J30i658 Called Date Expiration Date <br /> Assignment Information <br /> Dept PW ruBucwoaKs Priority E��!�mated Hours <br /> Cf2W SCONST SEN'ER CONSTRUCTI7N(GRENZNERI <br /> Conlractor <br /> As�igned To OBS OLHAVA, BRAD S <br /> Assigned By GCR GRENZNER,CtiR15 R <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPLACED PVC SIDE SEWER WITH PVC.SIDE SEWER REPLACED FROM MAlll TO PROPERTV <br /> LINE. <br /> RCCOf1101B11d¢d �1C�lOf1 REPAIR SIDE SEW[R <br /> Approved By oes o�rtnvn.swno s Job Cost Information(YIN) <br /> Start Date i i Time Date Completed 211 412 0 1 4 Permit No <br /> Cornpleted By Time Follow Up? <br />