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Issued By RJP <br />Issued Department Pw <br />Date Issued 2i2ai2o�s <br />Fund ao1 <br />Program <br />Work Activity Work Order <br />RAPELYEA, JASON P. <br />PUBLIC WORKS <br />Page 1 <br />9/22/2016 11:02 <br />Account 5 Program ��o Function ��s Activity s�s <br />Title REPAIR .75 INCH 1619 EDGEMOOR LN 710119675 <br />Work Order No 20160610 Project Activity Type SERVICE REQUEST <br />Status 2i2ai2o�s TICI'12 13:45 Oriqinal WO Billing <br />Customer Information <br />Customer Name CLEMENTS, DAN Customer ld <br />Address 1619 Stf@@t EDGEMOOR LN <br />Apartment No City <br />State Zip <br />Subdivision Change Map Y/N <br />Phone No � 425 ) 418-8755 Ext <br />Second Phone ( > - Ext <br />E-Mail Address <br />Problem Information <br />Address 1619 Street EDGEMOOR LN <br />From Cross Street <br />To Cross Street <br />City Zip <br />Subdivision Map Book Map Reference <br />Problem WATER WATER <br />Sub Problem <br />Status c� <br />Requested By DRA DURRANT, ROGERA Date Requested 2/24/2016 <br />Agency Related Request 00150554 <br />Initiated From PUBLIC PUBLIC <br />Utility Locate (USA) No Called Date Expiration Date <br />Assignment Information <br />Dept Priority Estimated Hours <br />Crew <br />Contractor <br />Assigned To WTE WESTVANG, TERRY E. <br />Assigned By <br />Assigned Date To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken REPLACED .75 INCH SERVICE LINE WITH 200 PSI POLY AND COVERTED TO SETTER WITH <br />JUMPER AND BOX. DUE TO LEAK AT CONTRACTOR PACK JOINT. <br />Recommended Action <br />Approved By FBL FISHER, BOBBY L. <br />Start Date � i Time <br />Completed By <br />Job Cost Information(Y/N) <br />Date Completed 2/24/2016 Permit No <br />Time Follow Up? <br />