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il �i =:%' �i �J � � � � r �.o. �y�� � e�� � � <br />Work Activity Work Order <br />Page 1 <br />9/14/2016 8:49 <br />ISSU2Ci By CSG CAVANAH, SHANE G. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 1/6/2016 <br />Fund ao� Account 5 Program ��o Function 119 Activity s�� <br />Program <br />Title REPAIR AIR VALVE 3601 TULALIP AVE 710119671 <br />Work Order No 20160149 Project Activity Type CORRECTIVE MAINTENANCE <br />StBtUS 1/6/2016 TI1712 15:46 Original WO 2o�52�ss B111111g <br />Customer Information <br />Customer Name Customer ld <br />Address Street <br />Apartment No City <br />State Zip <br />Subdivision <br />Phone No ( ) - Ext <br />Second Phone ( ) - Ext <br />E-Mail Address <br />Problem Information <br />Address Street <br />From Cross Street <br />To Cross Street <br />City Zip <br />Subdivision Map Book <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No Called Date <br />Assignment Information <br />Dept Priority <br />Crew <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 CORE DRILLED LID AND PLUMBED GOOSENECK OUT OF VAULT. <br />Recommended Action <br />Approved By FBL FISHER, BOBBY L. <br />Start Date r i Time <br />Completed By <br />Change Map Y/N <br />Map Reference <br />Expiration Date <br />Date Completed <br />Time <br />Date Requested <br />Related Request <br />Estimated Hours <br />Job Cost Information(Y/N) <br />8/4/2016 <br />Follow Up? <br />Status c� <br />Permit No <br />