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Work Activity Work Order �age 1 <br /> s;i�/2oi� is:3� <br /> ISSUL'd By GCR GRENZNER,CHRIS R. <br /> Issued Department <br /> Date Issued 3/2 512 01 4 <br /> Fund qot Account s Program �tn Function �os Activity 675 <br /> Program <br /> TitIE REPAIR 1403 47TH ST SE 770709675 <br /> Work Order No 20140630 Project Activity Type SERVICE REQUEST otatus c� <br /> Status 3izsizoia Time os:t3 _ Original WO __ _ Billing_ _ _ _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( ) - Ext <br /> Second Phone ( ) • Ext <br /> E-Mail Address _ __. _— — ---- <br /> Problem Information <br /> Address 1403 t„ , ; c,: <br /> From Cross Street ypyT qVE <br /> To Cross Street RUCKER AVE ' <br /> City EVERETT <br /> Subdivision �.��_;� L� ��. �.'�_�� i:.i��i�a.� <br /> Problem SEWER SEWER <br /> Sub Problem SS SIDE SEWER <br /> Requested By GCR GrteNZNER, cti�:i; r DatE Requested 3no�zo�a <br /> Agency Pw PUBLIC WORKS Related Request oo�zassa <br /> Iniiiated From INTER INTERtJAL <br /> Utility Locate(USA) No 1aos22s5 Called Date Expiration Date <br /> Assignment Information <br /> Dept Pw =uBllCwortKs Priority Estimated Hours <br /> CfBV✓ SCONST SEWER CONSTRUC710N(GRENZNERI <br /> Contractor <br /> Assigned To OBS OLHAVA,BRAD S. <br /> Assigned By GCR GRENZNER,CHRIS R. <br /> Assigned Date __ ____ To Be Comp Date <br /> Scheduled Date Scheduled Timz <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPLACED SIDE SEWER FROL" L1AIN 7U PROPERTY <br /> R000f11fT1@f1CI@(I AClI0f1 REPAIR SIDE SEWcR <br /> Approved By oes oLHAvn,eRaD s. Job Cost Information(Y/N? <br /> Start Date i I Time Date Completed aisizota _ Permit No <br /> ------ — <br /> - - - <br /> Completed By Time Follow Up7 <br /> _.,��t �`+�';,;:�'s,',`• _�,,,,;,' — <br />