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Issued By OBS <br />Issued DepartmentPW <br />Date Issued 5/24/2012 <br />Fund 401 <br />Program <br />NO MATERIALS <br />Work Activity Work Order <br />OLHAVA, BRAD S. <br />PUBLIC WORKS <br />Page 1 <br />6/25/2012 15:14 <br />Accounts Program 710 Function tog Activity 6m <br />Title REPAIR R&L 2232 74TH ST SE 710109671 <br />Work Order No 20120709 Project Activity Type SERVICE REQUEST <br />Status 5124t2012 Time 08.15 Original WO Billing <br />Customer Information <br />Customer Name KENNY CHRIS <br />Address <br />Street 74TH ST SE <br />Apartment No <br />City <br />State <br />Zip <br />Subdivision <br />Phone No l 425 1 353.1177 <br />Ext <br />Second Phone l I • <br />Ext <br />E-Mail Address <br />Problem Information <br />Address <br />Street 74TH ST SE <br />Customer Id <br />R om Cross Street <br />To Cross Street <br />City <br />Zip <br />Subdivision <br />Map Book <br />Problem SEWER <br />SEWER <br />Sub Problem R&L <br />RING AND LIDS <br />Requested By GMJ2 <br />GESLAK, MARTY J. <br />Agency <br />Initiated From PUBLIC <br />PUBLIC <br />Utility Locate (USA) No <br />Called Date <br />Assignment Information <br />Dept PW PUBLIC WORKS Priority <br />Crew SCONST SEWER CONSTRUCTION (AHLES` <br />Contractor <br />Assigned To NCR <br />NIETHAMER, CHARLES R <br />Assigned By OBS <br />OLHAVA. BRAD S. <br />Assigned Date <br />To Be Conp Date <br />Scheduled Date <br />Route <br />Comments <br />Scheduled Time <br />Route Sequence <br />Change Map YIN <br />Map Reference <br />Expiration Date <br />Status CL <br />Date Requested 6122/2012 <br />Related Request 00109376 <br />Estimated Hours <br />Action Taken CUT ASPHALT AND REMOVED HEAVY 6" RING & LID. REPLACED WITH LIGHT HINGED 4" RING <br />AND LID. ASPHALT TO BE REPLACED 15 6FT X oFT X D INCHES. <br />Recommended Action RESET RING AND LID <br />Approved By NCR NIETHAMER. CHARLES R Job Cost lnformation(Y/N) _ <br />Start Date 1 Time Date Completed 5/2912DI2 Permit No <br />Completed By Time Follow Up? <br />