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Work Activity Work Order Page 1 <br />9/14/2016 13:22 <br />ISSU2d By HLJ HUSBY, LANCE J. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 1/12/2016 <br />Fund ao� Account 5 Program ��o Function ��s Activity s�3 <br />Program <br />Title REPAIR 12 INCH 3460 34TH AVE NE 710119673 <br />Work Order No 20160213 Project Activity Type CORRECTIVE MAINTENANCE StBtUS CL <br />Status 1/12/2016 TI1712 13:44 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 3460 Street 34TH AVE NE <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 SERVICE ELECTRIC HIT UNMARKED 12 INCH HDPE, THROTTLE MAIN DOWN AND PUT A 12 <br />INCH HDPE STAINLESS REPAIR BAND ON. <br />Recommended Action <br />Approved By FBL FISHER, BOBBY L. <br />Start Date i i Time <br />Completed By <br />Date Completed <br />Time <br />Job Cost Information(Y/N) <br />1 /12/2016 <br />Follow Up? <br />Permit No <br />