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Work Activity Work C�rder page � <br /> 12/20/2014 13:34 <br /> ISSU@d By OBS OLHAVA,BRAD S. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued ivvzo�a <br /> Fund eo� Account s Program 7�o Function toe Activity 67a <br /> Program <br /> TIIIB REPLACE SEWER MAIN 7212 EVERETT AVE 710109674 <br /> Work Order No ZO'I432IS PfOJE:� Activity Type CORRECTIVE MAINTENANCE SI0IU5 CL <br /> Status �tnrzo�a Time o7:5o Original WO Billing <br /> Customer Iniormation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y!N <br /> Phone No ( ) • Ext <br /> Second Phone l ) • Ext — <br /> E-Maii Address <br /> Problem Information <br /> Address �p�y Street EVERETTAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Probiem <br /> Requested By oes o�rwvn,sRno s. Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No 1�312657 Called Date Expiration Date <br /> Assignment Information <br /> Dept Pw PUBLIC WORKS Priority Estimated Hours <br /> Cf@W �CONST SEWER CONSTRUCTION(OLHAVA) <br /> Contractor <br /> Assigned To LBM LESTER,BRIAN M. <br /> Assigned By oes OIHAVA,BRAD S. <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time d � p -, <br /> Route Route Sequence ��`"�-°�`'' '�f`��� « '�? <br /> C'�� 2:��:... . <br /> Comments <br /> Action Taken REPLACED MAIN FORM SMHT9 TO SMHT11 <br /> RBCORIrt1¢I1dBd ACtIOn REPLACE SEWER MAIN FROM SMHT9 TO SMHTi 1 <br /> Approved By oes o�Hnvn, sano s. Job Cost Information(YIN) <br /> Start Date i � Time Date Completed 11I7qI2014 Permit No <br /> Completed By Time Follow Up7 <br />