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r Paae 1 <br />V1r��k Activity W�rk Order 5,1„zol4 1,:�, <br />- --- ----- <br />-- <br />ISSUOd By GCR GREN2NER, CHRIS R. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued ysno�a Activi <br />Fund aoi Account s Program �io Function �oy H e�s <br />Program <br />i ItIF.� REPAIR 2528 GRAND RVE 710109675 <br />Work Order No 20140403 Project Activity Type SERVICE REQUEST Status c� <br />Status z�sno�a Time is ss Original WO _ Billing _______ __ __ <br />Customer Information <br />Customer Name GARRISON, BEN <br />Address 2528 S1f80� GRAND AVE <br />Apartment No City <br />State Z'P <br />Subdivision <br />Phone No ( 4Y5 1 299-9449 EX� <br />Second Phone ( 1 • Ext <br />E-Mail Address <br />Problem Information <br />Address 2528 Street GRAND AVE <br />From Cross Slreet y6TH ST <br />To Cross Street <br />�i�y EVERETT <br />Subdivision Map Book <br />Problein SEWER SEWER <br />Sub Probiein SS SIDE SEWER <br />RequestedBy DRA DURRANT,ROGERA <br />Agency <br />Initiated From PUBLIC PUBLIC <br />Utility Locate (USA) No 14070966 Called Date <br />Assi�nment Information <br />Dept Pw PUBLIC WORKS <br />CfBW SCONST SEWER CONFiTRUCTION (GRENZNER) <br />Contractor <br />Assigned To OBS OLHAVA, BRAD 5. <br />Assigned By GCR GRENZNER, CHRIS R <br />Assigned Date ____ __ To Be Comp Date <br />Scheduled Date ___ Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken REPI.ACED SIDE SEWER FROM MAI4 TO PROPERTY LINE. <br />ReCOf11f11Clld@d ACtioll REPAIR SIDE SEWER <br />Cus+.omer id <br />Change Map YIN <br />Zip <br />Map Reference <br />Date Requested vsi2ota <br />Related Request oot2s�eo <br />Expiration Date <br />Priority Estimated Hours <br />Approved By o[as oLHAVA, eRAo s. Job Cost Information(YIN) _ <br />Start Date i I Time __ _ Date Completed yi•uzo�a ____ Permit No _ <br />-- — <br />Completed By Time Follow Up? _____ <br />