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�0 �1�TEf� a� �. � <br /> Page 1 <br /> Work Activi�y Work Order 3/15/2013 �4:1� <br /> ISSUed By HDA HALLSSON,DONALD A. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued �tncrzou Aclivi <br /> Fund no� Account s Program »a Function �za ry 677 <br /> Program <br /> TIllO CLEAN 10320 1ST DR SE <br /> Work Order No 20122578 Project Activity Type SERVICE REQUEST Status c� <br /> Status ui�ei2ou Time oroo Original WO _ _ Billing _ — <br /> Customer Information Customer ld <br /> Customer Name BEECH,RICHARD , <br /> Address �oazo Street �sT oR se <br /> Apartment Nu City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> PhoneNo ( 425 ) xa�•awt Ext _- ---- _--- _ _ - <br /> Secnnd Phone ( � - Ext <br /> E-Mail Address — -- - — <br /> Problem Informalion <br /> Address 10320 Street �STDRSE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem DRAIN DRAINAGE <br /> Sub Problem Dale Requested �vz3izo�z <br /> Requested By GMJ2 GESLAK.MARTYJ <br /> Related Request oo�iaeze <br /> Agency <br /> Initiated From Pusuc PUBLIC Ex iration Date <br /> Utility Locate (USA) No Called Date P <br />, Assignment In(ormation <br /> Dept PW PU6LIC WORKS Priority Z Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To HDA HAILSSON,DONALD A <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time _ _ _ <br /> Route Roule Sequence <br /> Comments <br /> Action Tak2i1 REMOVED OBSiRUCTION�ROM iJU7LET WHICH ALLOWED CATCIi BASINS TO DRAIN. <br /> Recommended Action <br /> Approved By oes ��HAVA.e�no S. Job Costinformation(Y/N) _ <br /> Start Date i � Time Date Completed �vzo�zo�2 _. _ Permit No _ <br /> Completed f3y Time Follow Up? _ ____ <br />