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Work Activity Work Order <br />ISSUBd BY AGA AHLES, GREGORY A. <br />Issued Department rw PUBLIC WORKS <br />Date Issued vai2o�o <br />Fund ao� Account s Program »o <br />Program <br />T�}�p REPAIR 411 OLYMPIC BLVD 710123673 <br />Function t2a <br />' t Activity Type SERVICE REQUEST <br />Work Order No 20100018 Pro�ec <br />Status va2o�o Time oa:si Original WO __ Biliing__ <br />Customer Information <br />Customer Name STORCH, MARGURITE <br />Address au StfBel OLYMPIC BLVD <br />Apartment No Ciry <br />State Z�P <br />Subdivision <br />Phone No ( azs ) 252-0909 Ext <br />Second Ph�ne ( 1 - Ext <br />E-Mail Address <br />Problem Information <br />Address q�� Street OLYMP/C BLVD <br />Frorn Cross Street <br />To Cross Street <br />City <br />Subdivision Map Book <br />Problem SEWER SEWER <br />Sub Problem <br />Requested By HSR HOFFMAN, STEVEN R. <br />Agency <br />Initiated From PUBLIC PUBLIC <br />Utility Locate (USA) No 9298527 Called Date <br />Assignment Information <br />Dept Pw PUBl1C WORKS <br />CfeW SCONST SEWER CONSTRUCTION(GRENZNER) <br />Contractor <br />Assigned To AAL ARNOLD, ARTHUR L. <br />Assigned By A�A AHLES, GREGORY A. <br />Assigned Date To Be Comp Date <br />Customer ld <br />Change Map YIN <br />Zip <br />Map Reference <br />Pay� 1 <br />2/6/201" 6:19 <br />Activity e�s <br />St8iU5 CL <br />Date Requested ivzzizooe <br />Related Request 000eaeas <br />Expiration Date <br />Priority Estimated Hours <br />Scheduled Date _ Scheduled Time <br />Route Route Sequence <br />Comments INVENTORY NATERIAL IN THE AMOUNT��Faf10n40 WAS�JO,,I��NA�12ED <br />IN 2010 �� <br />ACtiOn TakCll REPAIRED 7 FEET BAD PIPE <br />RBGOf17ti1Clldtd ACt1011 EXCAVATE SINK HOLE AND REPAIR DRAIN LINE <br />Approved By oes o�Hnvn, sw+o 5. Job Cost Information(YIN) _ <br />Start Date � � Time __ _ Date Completed v6izoto _ Permit No <br />Completed By Time Follcw Up? <br />