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Fage 1 <br /> Work Activity Work Order 5,1„zol4 15:�8 <br /> ISSU@d BY GCR GRENZNER,CHRIS R. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued antlzota Activi <br /> Fund ao1 Accounts Program �to Function �oe ry e�s <br /> Program <br /> TIIIO REPAIR 1611 E MARINE VIEW DR 7 7 01 09675 <br /> Work Order No 20140849 Project Activiry Type SERVICE REQUEST Status c� <br /> Status anvzo�n Time io:59 Original WO___ ______Billing_ _ -_-- -- <br /> Customer Information <br /> Customer Name STERLING DOOR AND HARWARE,BEC Customer ld <br /> Address 1611 SU82t E MARINE VIEW DR <br /> Apartment No City <br /> State Z�p <br /> Subdivision Change Map YIN <br /> Phone No ( a2s ) 2ae•zaz3 Ext __ _ _______ --_ <br /> Second Phone ( ) - Ext <br /> E-Mail Address -------— <br /> Problem Information <br /> Address �g» Street E MP.RINE V1EW DR <br /> From Cross Street HqyES ST <br /> To Cross Streel <br /> City EVERETT Z�P <br /> Subdivision Map Book Map Refarence <br /> Problem SEWER SEWER <br /> Sub Problem SS SIDE SEWER Date Re uested annizola <br /> Requested By �F� DURRANT,ROGERA q <br /> Agency Related Request oot2saso <br /> Initiated From Pueuc Pueuc Ex iration Date <br /> Utiliry Locate (USA) No �aosteaz C211ed Date P <br /> Assignment Information <br /> Dept Pw PUBLIC WORKS Priority Estimated Hours <br /> CfeW SCONST SEWER CONSTRUCTION(GRENZNER) <br /> Contractor <br /> Assigned To oss OLHAVA,BRAD S. <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 /> Action Taken REPLACED 3'OF 4"CONCRETE SIDE SEWER 6'DEEP WITH PVC AND INSTALLED CLEANOUT <br /> IN SIDEWALK, <br /> RBCOfilI11011dBd ACtIOfI REPAIR SIDG SEWER <br /> Approved By oes o�Hnvn,stuo s. Job Cost Information(YIN) <br /> Start Date I 1 Time __ Date Completed an5izata __ _ Permit No __ <br /> —_ _ __ _ — <br /> Completed By Time Follow Up? <br />