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Work Activity Work Order <br />ISSU@d Bj/ HLJ HUSBY, LANCE J. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 5/23/2016 <br />Fund ao� Account 5 Program <br />Program UT3473 � s <br />Title CONVERT .75 INCH 3417 TULALIP AVE UT3473-7-3 <br />Function <br />Page 1 <br />7/20/2016 9:38 <br />Activity <br />Work Order No 20161374 Project Activity Type CORRECTIVE MAINTENANCE <br />Status 5/23/2016 Time os:os Original WO Billing <br />Customer Information <br />Customer Name Customer ld <br />Address Street <br />Apartment No City <br />State Zip <br />Subdivision Change Map Y/N <br />Phone No ( ) - Ext <br />Second Phone ( ) - Ext <br />E-Mail Address <br />Problem Information <br />Address 3417 Street TULALIP AVE <br />From Cross Street <br />To Cross Street <br />City Zip <br />Subdivision Map Book Map Reference <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By Date Requested <br />Agency Related Request <br />Initiated From <br />Utility Locate (USA) No Called Date Expiration Date <br />Assignment Information <br />Dept Priority Estimated Hours <br />C rew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date ___ . To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken CONVERT .75 INCH CURBSTOP TO .75 INCH SETTER WITH METER AND BOX. FLAT TO METER <br />PROGRAM <br />Status c� <br />Recommended Action <br />Approved By EAL ERICKSON, arv�REw �. Job Cost Information(Y/N) <br />- ____ <br />Start Date i � Time Date Completed 5i2ai2o�s Permit No <br />Completed By Time Follow Up? <br />