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Page 1 <br /> Work Activity Work Order S�Z��Z013 ��:�5 <br /> Issued By GCR GREN2NER,CHRIS R. <br /> issued Department Pw PUBLIC WORKS <br /> Date Issued v25�zota Program �to Function �oe Activity 675 <br /> Fund ao� Accounts <br /> Pr�gram <br /> Titie REPAIR 1702 61APLE ST 710123675 <br /> 20130243 Pro ect Activity Type SERVICE REQUEST Status c� <br /> Work Order No � <br /> vzs�2oia Time i4:23 Original WO Billing_ _ _____ __— <br /> Status — <br /> Customer Information �i,stome�id <br /> Customer Name REXHAUSEN,FRANK S�f88� MAPLE AVE <br /> Address ttoz <br /> Apartment No Ciry <br /> State Z�P <br /> Change Map YIN <br /> Subdivision <br /> PhoneNo ( 425 ) 717-8248 EXt -_--------- <br /> Second Phane ( ) • Ext <br /> E-Mail Address --- --- <br /> Problem Information Street <br /> Address i102 MAPLEAVE <br /> From Cross Street <br /> To Cross Street Zip <br /> City Map Book Map Reference <br /> Subdivision <br /> Probler�i SEWER SEWER <br /> Sub Problem SS SIDE SEWER Date Requested vz2�zota <br /> Requested By ccM CABE.CHAD M. <br /> R=lated Request ooitsssa <br /> Agency <br /> Initiated From PueuC Pueuc Called Date Expiration Date <br /> Utility Locate (USA) No <br /> Assignment Information Prioriry Estimated liours <br /> Dept Pw PUBLIC WORKS <br /> Cf@W SCCNST SEWER CONSTRUCTION(GRENZNER) <br /> Contractor <br /> Assigned To <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 INSTALLED CLEANOUT AT PROPERTY LINE <br /> Recommended Action REPAIR BROKEN SIS AT PROPERTY LINE <br /> ,� � Job Cost information(YIN) <br /> Approved By IJM IMHOF,JAMES M. — pg�rllli NO <br /> Start Date � i Time ___ Date Completed v28izo1s <br /> ———- Time � Follow Up? _ <br /> Completed By _ — - ------- __ __ -- <br />