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Issued By oas <br />Issued Department pw <br />Date issued io���2oia <br />Fund aot <br />Program <br />Work Activity Work Order <br />� � � OLHAVA, BRAD S. <br />PUBLIC WORKS <br />. . •;�,;;�'ik' � <br />., -c� . J p r a �:ce � <br />�. �.. ��y�.; ... ., <br />Account s Program »o Function iZ3 AcLvib/ 5�e <br />Title CLEAN 815 56iH PL S1^J 710123678 <br />�Nork Order No 20143098 Project Acliviry Type coHr�=_cnve r,.��ua�er�nrdce Status c� <br />Status �m�2oia Time �a:. OnginalNiO __ BJling _ <br />Customer Information <br />Customer Name <br />Address Street <br />F�partment No City <br />State Z�P <br />Subdi�n;ion <br />Phone Plo ( ) - Ext <br />Second Phone 4 1- Ext <br />E-N1a�l Address <br />Problem Information <br />Address g�5 $Ireet 56TH PL SW <br />From Cross Street <br />To Cross Street <br />City -- <br />Subdivisicn Map Book <br />Protlem <br />Sub Problem <br />Fequested By <br />A.genc;� <br />Initialed From <br />Uiility Lr,cat2 (USA) ;Jo tazsaea2 Cailed Date <br />Assignrnent Information <br />Dept vw PUHI IC bVORKS <br />CfPW SCONST SENJER CONSTRU(:TIOh (OLHAV�) <br />Contractor <br />Assigned To PWR PUGSLEY. WILLIAfd F <br />Assigned 8y OBS OLHAVA. BRAD S <br />�ssigned Dale _ To Be Comp Date <br />Scheduled Date Scheduled Time <br />Roule Rou1e Sequance <br />Comments <br />ACt100 T3kCf1 CIEANED EXCESS SEDI�dENT FROM POND. <br />RBCOfI1fTlBfld2d ACflOfl CLEAN SEUI�diEN � PRCU POND U[]F0184fOJ <br />Customer ld <br />Change Map YIN <br />Zip <br />P;1ap Feference <br />Dale Requested <br />Related Request <br />Expiration Date <br />Prionry Estnnal2d Hours <br />��:�;�;��i:i�; <br />DEC 2 2 2p14 <br />Approved By PWR PUGSLEY, WILLIA(d R Job Cost In(ormation(Y!N) <br />Start Date i i Time Date Completed �oreizo�a Permit No _ <br />------ — ---- - — _ <br />Completed By Time Follow Up� ___ __ <br />