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Fage 1 <br /> Work Activity Work Orcier 5,,,,zo14 15:�� <br /> _ _ _ ---- --- ------- -- <br /> ISSU@d By GCR GRENZNER,CHRIS R. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued aizvzo�a <br /> Fund Qoi Account s Program �to Function �os Activity 675 <br /> Program <br /> Title REPAIR 3407 LOMBARD AVE 710109675 <br /> 20140941 PfOJBCi Activity Type SERVICE REQUEST St8fl1S CL <br /> Work Order No Billin <br /> Status a�zvzoia Time o0:55 Original WO _____..__9.__-- - --- ---- <br /> Cuetomer Information Customer ld <br /> C� stomer Name SEWER DETECTIVES,JP <br /> Aajress Street <br /> Apartment No City <br /> State Z�P Change Map YIN <br /> Subdivision <br /> Phone No ( 425 ) 923-0958 EXt _ _ ____ _ — __. <br /> Second Phone ( 1 - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address gqp� Street LOMBARD AV� <br /> From Cross Street <br /> To Cross Street <br /> City EVERETT Z�P <br /> Subdivision Map Book Map Reference <br /> Problem SEWER SEWEP. <br /> SubProblem SS SIDESEWER <br /> Requ=sted By ccm CABE,CHAD Aa. Date Requested 41312074 <br /> Agency Related Request ooiza5s9 <br /> Initiated From PUBLIC ausuc �x iration Date � <br /> Utility Locate lUSA) No 14086307 Called Date P� <br /> Assignment Information <br /> Dept Pw PUBLIC\NORKS Priority Estimated Hours <br /> CfEW SCONST SEWER CONSTRUCTION(GRENZNER) <br /> Contractor <br /> Assigned To OBS OLHAVA,BRAD S. <br /> „ssigned By GCR GRENZNER,CHRIS R. <br /> •� Assigned Date ______ To Be Comp Date <br /> �i Scheduled Date _ ___ __. Scheduled Time __ __ <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPLACED SIDE SEWER F-ROM PAAIN TO PROPERTY LINE. <br /> R8COf11R1E11d0d ACtlO�i REPAlR SIDE SEWER <br /> Approved By oas OLHAVA.BRAD S. JOb COSt If1fOfl1l0f1011(YIN� <br /> ----- Permit No <br /> Start Date I � Time Date Completed anv2o�a __.__— <br /> _ _ __ <br /> ----- <br /> Completed By ____ Time Follow Up? __ ___ <br />