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Work Activity Work Order <br />ISSU2d By AGA AHLES, GREGORY A. <br />Issued Department aw PUBLIC WORKS <br />Date Issued 121512011 <br />Fund ao1 Account 5 Program »o <br />Program <br />TillO ADJUST 2302 W MUKILTEO BLVO 710123671 <br />Work Order No 20112575 Project <br />Status �zi5no�� Time oe:s3 <br />WO <br />Function �p3 <br />Page 1 <br />1��Z8�2�11 0:32 <br />Activity e�t <br />Activity Type CORRECTIVE MAINTENANCE StB�US CL <br />Customer Information <br />Customer Name <br />Address 2�02 $�f08f W MUKILTEO BLVD <br />Apartment No City <br />State Z�P <br />Subdivision <br />Phone No ( ) - Ext <br />Second Phone ( ) - Ext <br />E-Mail Address <br />Problem Information <br />Address 2302 Street WMUKILTEOBLVD <br />From Cross Street <br />To Cross Street <br />City <br />S�bdivision Map Book <br />Problem <br />Sub Problem <br />Requested By DBM1 DOOLAN, BRIAN M. <br />Agency <br />Initiated From <br />Utiliry Locate (USA) No Called Date <br />Assignment Information <br />Dept Pw PUBLIC WORKS <br />Cf2W SCONST SEWER CONSTRUC7ION (AHLES) <br />Contractor <br />Assigned To oes OLHAVA, BRAD S. <br />Assigned Ry AGA AHLES, GREGORY A. <br />Assigned Date To Be Comp Date _ <br />Scheduled Date _ _ <br />Route <br />Comments <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Prioriry Estimated Hours <br />Action Taken RAISED SOLID GRATE CB TO SURF.4CE WITH 6 INCH CONCRETE RISER. <br />Recommended Action t�qisE CB To cRouNo LEVEI. <br />Approved By oes OLHAVA, sw+o s. Job Cost Information(YIN) <br />Start Date � � Time ____ Date Completed tytaxo�� Permit No _ <br />Completed By __ ___ __.____ __ _ Time Follow Up7 <br />