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� � � <br />�- TORd MA'fER�A� `t <br />*�t+��a., �� _ �N��� Fll?.EC! tM -.-=-...� <br />.1�� IRN <br />Work Activity Work Order ��5� ' <br />s;i,/.'.ois ii�oa <br />ISSU2d By WMW WARD, MICHAEL W. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued vcizo�a <br />Fund ao� Account s Program »p Function �iy Ac6vity ssa <br />Program <br />TitIB SO SIX INCH PIRE 2931 W MARINE VIEW DR i 7011966: <br />WO�k Ofd2f NO Z0�40�43 PfOJ2CI Activity Type CORRECTIVE �dAINTENANCE <br />Status v5��ota Time iz <o Original WO Billing <br />Customer Information <br />Customer Name EVERETT HOSPITALIN CO <br />Address Street <br />Apartment No City <br />State Zip <br />Subdivision <br />Phone No t 1- Ext <br />Secund Phone c 1• Ext <br />E-Mail Address <br />Problem Information <br />Address P931 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utdity Locate (USA) No <br />Assignment Inlormation <br />Depl <br />Crew <br />Con(ractor <br />Assigned To <br />Assign�d By <br />Assigned Date _ _ _ _ <br />S�reet yy MARINE VIEW OR <br />Map Book <br />Called Date <br />To Be Comp Date <br />Cusiomer ld <br />Change Map Y1N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Pnority Eslimated Hours <br />Scheduled Date �cheduled Time <br />Roule Route Sequence <br />Comments INVENTORY MATERIAL IN THE AMOUNT OF 57,160.60 WAS <br />JOURNALIZED IN 2074 <br />Action Taken INSTALIED 6" FIRE SVC. NEPTUNE METER #785038107J, WATER ON. BACKFLOW DEVICE <br />SERIAL NUMBER V�9120 MODEL 350ADA. <br />BILL T0: EVERETT HOSPITALITY 1� <br />sea�rEcaeas, G#b� `1�w1P�� `a��. 1_v�.r.�{-� <br />Z��1 w - ���,�� J, ���� ��- <br />Sl2iUS CL <br />