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Work Activity 1lelork Order �''� ' <br />si:�l�o_� ii:as <br />— ----- ----- --_—___-- . <br />ISSU2d Bv GCR GRENZNER, CHRIS R. <br />Issued Department aw PUBLIC WORKS <br />Date Issued srs�2o�a <br />Fund aot Account s Prcgr�m ��o Function �os Activity e�s <br />Program <br />TIiIB REPAIR 2808 76TH ST 770109675 <br />Work Order No 20131151 Project Activity Type SERVICE REQUEST Status c� <br />Status 6/5I7.013 Time i i:st Original WO _ _ Billing __ <br />Customer Information <br />Customer Name KEENAN, MATT <br />Address zsaa Street ieTFi sT <br />Apartment No City <br />State Z�P <br />Subdivisiun <br />Phone No ( 425 ) 750d339 EXt <br />Second Phone ( 1 - Ext <br />E-Mail Address mgkeenan@gmall.com <br />Problem Information <br />Address lgpg Street �6TH ST <br />From Cicss Street <br />To Cross Street <br />City <br />Subdivision Map Book <br />Problem SEWER SEWER <br />Sub Problem SS SIDE SELVER <br />Requested By CCM CABE, CHAD tf <br />Agency <br />Initiated From PUBLIC PUBLIC <br />Utility Locate (USA) No 13132067 Called Date <br />Assignment Information <br />Dept Pw PUBLIC WORKS <br />CfL'W SCONST SEWER CONSTRUCTION(GRENZNER) <br />Contractor <br />Assigned To oss o:.HAVA, BRAD S. <br />Assigned By GCR GRENZNER, CHRI� R. <br />Assigned Date _. To Be Comp Date __ <br />Scheduled Date _ _ Scheduled Time __ <br />Route Route Sequence <br />Commerts <br />Action Taken REPLACED SIDE SEWER FROM MAIN TO PROPERTY LINE. <br />Recommended Action REPAIR SIDE SEWER <br />Approved By oes OLHAVA, BRAD S. <br />Start Date � � Time _ <br />Compl2ted By <br />Customer ld <br />Change Nlap YIN <br />Zip <br />Map Reference <br />Expiration Date <br />Priority <br />Date Cumpleted <br />Time <br />Date Requested 312 812 01 3 <br />Related Request ooi�azna <br />Estimated Hours <br />Job Cost Information(Y/N) <br />6/1112013 <br />Fo!Iow Up? <br />Permit No <br />