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la5uzd By GCR <br />Issued Department pw <br />Date Issued 7114/2013 <br />Fund aot <br />Program <br />Work Activity V11ork 4rder <br />GRENZNER, CHRIS R. <br />PUBLIC WORKS <br />t�3aa 1 <br />�.zi���o_3 iz:=s <br />Account s Program »o Function �09 Activity a�s <br />TIf10 REPAIR 724 LAUREL DR 710109675 <br />Wark Order No 20133591 Project Activity Type SERVICE REQUEST <br />Status ii�ar2oia Time ia.se Original WO Billing <br />Customer Information <br />Customer Name FORSYTHE, AM6ER <br />Address 7Z4 S1fB2t LAUREL DR <br />Apartment No City <br />State Z�P <br />Subdivision <br />Phone No l azs ) 750-7591 Ext <br />Second Phone ( ) - Ext <br />E-Mail Address <br />Prohlem Information <br />Address 7Y3 Street LAUREL DR <br />Customer ld <br />From Cross Street TULALIP AVE <br />To Cross Street <br />City Z�P <br />Subdivision N1ap Book <br />Problem SEWER SEWER <br />Sub Problem SS SIDE SEWER <br />Requested By HTR HIKEL, THcODORE R III <br />Agency <br />Initiated From PUBLIC PUBLIC <br />Utility Locate (USA) No Called Date <br />Assignment Information <br />Dept PW PUBLIC WORKS PflO�lfY <br />Cf2W VACN VACTOR/TV CREW (STECHER) <br />Contractor <br />Assigned To LGR LUNZ, GREGOFY R <br />Assigned By GCR GRENZNER, CHRIS R <br />Assigned Date _____ To Be Comp Date <br />Scheduled �ate Scheduled Time _ <br />P,oute Route Sequence <br />Comments <br />Change Map Y/N <br />Map Reference <br />Expirztion Date <br />St8iU5 CL <br />Date Requested �vvzois <br />Related Request ao�zeco� <br />Estimated Hours <br />Action Taken 6" CONCRETE TEE, OPEN AT TOP. PLUGGED WITH MCEHANICAL PLUG, SEALED WITH 20 MIN <br />MORTAR. FILLE� WITH GRAVEL TOPPED WITH TOPSOIL AND GRASS SEED. <br />6eCOmfnendCd ACt100 RFPAIR SIDE SEW[R <br />;--.pproVBd By GCR GRENZNER, CHRIS R. JOb COSt I�fOftTlBtlOf1(Y/N) <br />- ---- -�-- _ . <br />Start Date � i Time Date Completed tusno�a __ Permit No <br />Comr„Ptad 3; Time Follow Up? <br />