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Work Activity Work Order Page 1 <br /> iz�za�2oii 9:i4 <br /> ISSUOd BY AGA AHLES,GREGORY A. <br /> Is=ued DepartmantPw PUBLICWORKS <br /> Date Issued ttis�zol� <br /> Fund qo� Account s Program �io Function toe Activity s�5 <br /> Fiogram <br /> Title REPAIR 2523 PINE ST 710109675 <br /> Work Order No 2J112574 Project Activity Type SERVICE REQUEST Status c� <br /> Status tvsnoii Time o�:a7 Original WO Billing _ <br /> Customer Information <br /> Customer Name HicKs,JOE Customer ld <br /> Address zsis Street PiNesT <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No l 425 ) 477•0337 Ext <br /> Second Phone ( ) • Ext -- <br /> E-Mail Address ___ _ <br /> Problem Information <br /> Address Y5y3 Street p/NE ST <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem SEWER SEWER <br /> Sub Prablem SS S/DE SEWER <br /> Requested By cen CLEMANS,BRUCEA. DBfB ROaU@SfBCJ tve�2o�� <br /> Agency Related Request aoto32oe <br /> Initiated From PUBLIC PUBLIC <br /> Utility Locate(USA) No ttzszsas Calied Date Expiration Date <br /> Assignment Information <br /> Dept Pw PUBLIc woRKs Priority Estimated Hours <br /> CfCW SCONST SEWERCONSTRUCTION(AHLES) <br /> Contractor <br /> ,4ssigned To OBS OLHAVA,BR4D S. <br /> Assigned By AGA AHLES,GREGORY A. <br /> Assigned Date To Be Comp Date ___ <br /> Scheduled Date _ __ Scheduled Time <br /> Ro�te Route Sequence <br /> Cumments <br /> Action Taken REPLACED SIDE SEWER FROM 13 FEET DOWN STAUD PIPE TO PROPERTY LINE. <br /> Recommended Action REPAIR PVC STAND PIPE BROKEN FROM CONTR4CTOR'S MAIN REPLACEMENT <br /> Apprcved By oes o�HAvn,et�no s. Job Cost Information�YlN) <br /> Start Date � � Time _ __ Date Completed tvzvzot� Permit No _ <br /> Campleted 6y _ __ _ _ ___ _____ Time _ Follaw Up7____ <br /> �y <br />