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i <br /> � <br /> Page 1 <br /> Work Activity Work Order S�zs�zolZ 11:,, , <br /> ISSLlOd By AGA AHLES,GREGORY A. I <br /> Issued Department aw PUBLIC WORKS <br /> Datelssued �ti2yZo�� <br /> Fund aot Account e Program �to Function �09 Activiry e7s <br /> Program <br /> TIflO REPAIR 3426 TULALIP AVE 710109675 <br /> WOfk OfdOf NO 2���2643 PfOJECt Activity Type CORRECTIVE MAINTENANCE St8tU5 CL <br /> Status �zrzvzot� Time tt:oe Original WO _Billing_ __ _ _-- <br /> Customer Information Customer ld <br /> Customer Name <br /> Nddf0S5 3426 SIf80t TULALIP AVE <br /> Apartment No City <br /> State Z�p <br /> Subdivision Change Map Y/N <br /> Phone No ( ) • Ext _ __ <br /> Second Phone ( ) - �xt <br /> E-Mail Address --- <br /> Problem Information <br /> Address 3426 Street TULALIP AVE <br /> Fram Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem SEWER SEWER <br /> Sub Problem SS SIDE SEWER Date Requested <br /> Requested By VDR VOIGT,DAVID R. <br /> Related Request <br /> Agency <br /> Initiated From Ex iration Date <br /> Utility L�cate (USA) No Called Dale P <br /> Assignment Information Estimated Hours <br /> Dept Pw PUBLIC WORKS PfiOfily <br /> CfeW SCONST SEWER CONSTRUCTION(AHLES) <br /> Contractor <br /> Assigned To OBS OLHAVA,BRAD S. <br /> Assigned By AGA AHLES,GREGORY A. <br /> Assigned Date ______ To Be Comp Date _ _ _. <br /> Scheduled Date __ Scheduled Time __ __ _ <br /> Route Route Sequence <br /> Comments <br /> Action Taken FOUND GAS SERVICE THROUGH SIDE SEWER.REPLACED 2'OF 4"CONC WITH 4"PVC AND <br /> ROUTED AROUND GAS SERVICE. <br /> Recommended Action EXCAVATE SIDE SEWER AND REPAIR <br /> Approved By oss o�Hnvn,ew+o s. Job Cost Information(Y/N) <br /> Time Date Completed aisizo�2 Permit No _ <br /> Start Date � i — — — <br /> Completed By Time Follow Up? <br />