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Work Activity Work Order <br />Page 1 <br />9/14/2U13 13:19 <br />ISSUBd BY GCR � GRENZNER, CHRIS R. <br />Issued Department aw PUBLIC WORKS <br />Date Issued aizono�a <br />Fund qo� Account 5 Program »o Function i2a Activity 673 <br />Program <br />TIfIB REPAIR 3524 W MUKILTEO BLVD 710123673 <br />Work Order No 20�3�s�z PfOJE:.t Activity Type CORRECTIVE MAINTENANCE St8tU5 CL <br />Status 3/20l2013 Time ia:ss Original WO __ _ Billing __ __ __ ___ _ __ __ __ <br />Customer Information <br />Customer Name <br />Address 3524 Sff2@l W MUKILTEO BLVD <br />Apartment No Ciry <br />State Z�p <br />Subdivision <br />Phone No ( ) - Ext <br />Second Phone ( ) - Ext <br />E-Mail Address <br />Problem Information <br />Address 3524 Street yyMUKILTEOBLVD <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision Map Book <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No 13062773 Called Date <br />Assignment Information <br />Dept Pw PUBLIC WORKS <br />C�BW SCONST SEWER CONSTRUCTION (GRENZNER) <br />Contractor <br />Assigned To ��M IMHOF, JAMES M. <br />Assigned By GCR GRENZNER, CHRIS R. <br />Assigned Date __ __ _ To Be Comp Date ____ <br />Scheduled Date Scheduled Time __ <br />Route Route Sequence <br />Comments <br />Customer ld <br />�i;ange Map YIN <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />Action Taken REPAIRED BROKEN PIPE, BACK FILL WITH GRAVEL, COMPACT 4" TOPSOIL AN� SEED. <br />R000f11fI1CI1CI0d AC�IOfI REPAIR DRAINLINE <br />Approved By IJM IMHOF, JAMES M. JOb COS� Ifl(OffT18�lOf1(YIn) <br />Start Date � I Time _ Date Compieted a�vzo�s _ Permit No <br />Completed By — - — - —_---_ ___-----_-_ Time __ Follow Up? _ — – <br />