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NQ MATERIALS <br /> Work Activity Work Order P39e 1 <br /> 12/28/2011 9:13 <br /> ISSUBd By AGA AHLES,GREGORY A. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued tvaoizo�� Activi <br /> Fund aot Account 5 Program »o Function toe H e» <br /> Program <br /> Title REP.41R 3531 PAINE AVE 710109671 <br /> Work Order No 20112560 Project Activity Type SERVICE RE�UEST Status c� <br /> Status n�sonoii Time �o:ae Original WO Biiling _ _ .__________.__ ..._ _._ <br /> Customer Information Customer ld <br /> Customer Name SIX ROBBLEES, TOM <br /> Address 3531 S[f00t PAINE AVE <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( 425 I �Sb8666 Ext __ ____ <br /> Second Phone ( ) • Ext <br /> E-Mail Address -- - - --- <br /> Problem information <br /> Address Street 36TH ST <br /> From Cross Street pq�NE AVE <br /> To Cross Streel <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem SEWER SEWER <br /> Sub Froblem MANHOL MANHOLES <br /> Requested By HSR HOFFMAN,STEVEN R. DBiB R0GU85t0d 70112l2011 <br /> Agency Related Request oo�ozs�a <br /> Initiated From PUBLIC Pusuc <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Pw PUDLIC WORKS Priority Estimated Hours <br /> CfEW SCONST SEWERCONSTRUCTION(AHLES) <br /> Contractor <br /> Assigned To OBS OLHAVA,BRAD 5. <br /> Assigned By A�A AHLES.GREGORY A. <br /> Assigned Date _ _ To De Comp Date <br /> Schedu!�d Date _ __ _ _ Scheduled":me ___ _ _ <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPLACED RING AND LID AND FILLED SETTLEMENT AROUND MANHOLE WITH CD.'- <br /> R@COf11R1CfldBd ACflOfl RFPAIR SETTLEMENT AROUND MANHOIE AND ADJUST R&L TO ROAD SURFACE <br /> Approved By oes oLHnvA,6RAo s. Job Cost Information(Y/N) _ _ <br /> Starl Date i I Time _ _ Date Completed tvaoizo��___ Permit No__ __ <br /> - - - -- <br /> Completed By __ Time - --- Follow Up? _- ----- � <br /> y3 <br />