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Issued By AGA <br />Issued Department PW <br />Dale Issued 8/312005 <br />Fund 401 <br />Program <br />Work Activity Work Order <br />AHLES, GREGORY A. <br />PUBLIC WORKS <br />Page 1 <br />12/21/2005 13:13 <br />Accounts Program 710 Function log Activl'y 675 <br />Title <br />REPLACE 3420 FEDERAL AVE 710109675 <br />Work Order No <br />20050756 <br />Project <br />Activity Type SERVICE REQUEST <br />Date <br />6/3/2005 <br />Time16:41 Original WO <br />Billing <br />customer Information <br />Customer Name <br />COZINE, LADONNA <br />Customer Id <br />Address <br />3424 <br />Street FEDERAL AVE <br />Apartment No <br />City <br />State <br />Zip 98201 <br />Subdivision <br />Change Map Y/N <br />Phone No <br />( 425) <br />252.65e4 Ext <br />Second Phone <br />( ) <br />Ext <br />E-Mail Address <br />Problem Information <br />Address <br />3420 <br />Street FEDERAL AVE <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Map Book <br />Problem SEWER <br />SEWER <br />Sub Problem SS <br />SIDE SEWER <br />Requested By CF <br />CHRISCADEN, FRED <br />Agency <br />Initiated From PUBLIC <br />PUBLIC <br />Utility Locate (USA) No <br />5250360 Called Date <br />Assignment Information <br />Dept PW PUBL,0 <br />WORKS <br />Crew SCONST <br />SEWER CONSTRUCTION (AHLES) <br />Contractor <br />Assigned To SR <br />SIERRA, RAMON <br />Assigned By AGAR <br />AHLES, GREGORY A. <br />Assic :ed Date <br />To Be Comp Date <br />Scheduled Date <br />Scheduled Time <br />Route <br />Route Sequence <br />Comments <br />Zip 96201 <br />Priority <br />Status CL <br />Map Reference <br />Date Requested 7/25/2005 <br />Related Request 00049718 <br />Expiration Date <br />Estimated Hours <br />Action Taken REPLACE SIDE SEWER FROM MAIN TO P/L W16" PVC. C.O. @ P/L CONNECTION 235' N OF <br />MH @ 35TH <br />Completed By SR SIERRA, RAMON Job Cost Information(Y/N) <br />Start Date I I Time Date Completed 911512005 Time <br />Approved By Follow Up? Permit No <br />