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Work Activity Work Order Page � <br /> iz/io/Zoiz i3:zi <br /> ISSU@d By AGA AHLES,GREGORY A <br /> Issued Department aw PUBLIC WORK3 <br /> Date Issued �izaizo�z <br /> Fund 4ot Account 6 Program t�o Function 1z3 Activity s�t <br /> Program <br /> Titl6 INSTALL 6603 OIYMPIC DR 770123677 <br /> Work Order No 20121580 Project Activity Type SERVICE REQUEST Status ci. <br /> Status �izano�2 Time �o:za Original W0 _ _ _ Billing <br /> Customer Iniortnation <br /> Customer Name GENSON,WENDY Customer ld <br /> AddfESS g8Y9 StfeBi OLYMPIC DR <br /> Apartment No Ciry <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( �zs ) x�e-aers Ext <br /> Second Phone ( ) • Ext <br /> E-Mail Address <br /> Problem Infortnatfon <br /> A dr ss 68Y9 S reet OLYMPIC DR <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Referenca <br /> Problem DRAIN DRAINAGE <br /> Sub Problem OTHER OTHER <br /> Requested By HSR NOFFMAN,STEVEN R. DBtE RBGU@StEd 412�I2012 <br /> Agency Related Request ootoea3� <br /> Initiated From Pueuc PueuC <br /> Utility Locate(USA) No 12150�26 Called Date Expiration Date <br /> Assignment Infortnation <br /> Dept Pw PUBLIC WORKS Priority Estimated Hours <br /> Cf@W SCONST SEWER CONSTRUCTION(AHLES) <br /> Contractor <br /> Assigned To IJM IMHOF,JAMES M. <br /> Assigned By AGA AHLES,GREGORY A. <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken INSTALLED CB AND TIED INTO EXISTING CB.PREPARED FOR ASPHALT. <br /> R@COrt1111B11dBd AC1I011 INSTALL CB SO WE CAN RUN LIP UP EAST SIDE OF OLYMPIC <br /> Appraved By IJM IMHOF,JAMES M. JOb COSi I�fOfrt18t10�(YIN) <br /> Start Date i � Time Date Compieted 7�zarxol2 _ Permit No <br /> Completed By Time Follow Up7 <br />