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Work Activity Work Order <br />Issued By OBS OLHAVA, BRAD S. <br />Issued Department PW PUBLIC WORKS <br />Date Issued 1/23/2014 <br />Fund 401 Accounts Program 710 Function 1o9 <br />Program <br />Title REPAIR 1906 SUMMIT AVE 710109675 <br />Work Order No 20140308 Project Activity Type SERVICE REQUEST <br />Status 1/2312014 Time 1o:o4 Original WO Billin <br />Customer Information <br />Customer Name CARLSON, KEN <br />Address 1906 <br />Street SUMMIT AVE <br />Apartment No <br />City <br />State <br />Zip <br />Subdivision <br />Phone No ( 206) <br />910.4372 Ext <br />Second Phone ( ) <br />- Ext <br />E-Mail Address <br />Problem Information <br />Address I906 <br />Street SUMMITAVE <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Map Book <br />Problem SEWER <br />SEWER <br />Sub Problem SS <br />SIDE SEWER <br />Requested By CCM <br />CABE, CHAD h1. <br />Agency <br />Initiated From PUBLIC <br />PUBLIC <br />Utility Locate (USA) No <br />14016761 Called Date <br />Assignment Information <br />Dept Pw PUBLIC WORKS <br />Crew SCONST SEWER CONSTRUCTION(GRENZNER) <br />Contractor <br />Assigned To MGF <br />MCMANIS, GERALD F. <br />Assigned By OBS <br />OLHAVA, BRAD S. <br />Assigned Date <br />To Be Comp Date _ <br />Scheduled Date <br />Scheduled Time <br />Route <br />Route Sequence <br />Comments <br />Action Taken — — <br />Customer Id <br />Zip <br />Change Map Y/N <br />Map Reference <br />Expiration Date <br />Page 1 <br />5/17/2014 12:34 <br />Activity 675 <br />Status CL <br />Date Requested 1121/2014 <br />Related Request 00127093 <br />Priority Estimated Hours <br />