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331 ELM ST 2016-01-01 MF Import
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331 ELM ST 2016-01-01 MF Import
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Last modified
2/12/2017 7:08:31 AM
Creation date
2/12/2017 7:08:27 AM
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Template:
Address Document
Street Name
ELM ST
Street Number
331
Imported From Microfiche
Yes
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, 3 <br /> Work Activity Work Order <br /> ISSUCd By WMW WARO,MICHAEL W. <br /> Issued Deparlmenl Pw PUBUC WORKS <br /> Date Issued taneizoo� <br /> Fund aot Account s Program »o Function >>y Activity e�s <br /> Program <br /> Tille REPAIR 337 [LM ST 710119675 <br /> Work Order No 20070953 Projecl Activity Type SERVIC[REOUEST Slatus c� <br /> Dale �on6r2oo� Time trzz Original WO Billing <br /> Customer Information <br /> Cusromer Name TECTRA-TECH CUSlOfilCf (d JOHN <br /> Address Street <br /> Apartmenl No Cily <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phune No ( azs 1 508-2610 Exl <br /> Second Phone l 1 - Exl <br /> E-Mail Address <br /> Problem InFormation <br /> Address 331 Slreet ELM ST <br /> Prom Cross Streel <br /> To Cross Street <br /> Cily Zip <br /> Subdivision Map Dook Map ReFerence <br /> Prablem WATER WATER <br /> Sub Problem <br /> RBqUCSICd By HSR HOFFMAN,STEVEN R. D8�@ R@GU2510d 1 011 612 0 0 7 <br /> Agency Relaled Requesl 000e62sa <br /> Initiated From PUBLIC �uouc <br /> Ulility Locate (USA) No Called Date Expiration Dale <br /> Assignment Information <br /> Dept Pw PUBLIC WORKS Priority Estimaled Hours <br /> Crew <br /> Contraclor <br /> Assigned To WMW WARD.MICHAEL\V. <br /> Assigned By <br /> Assigned Date To Be Comp Dale <br /> Scheduied Date Scheduled Time <br /> Route Roule Sequence <br /> Comments <br /> Action Takcn VACTORED DOWN TO LINE AND REPLACED 2FT OF COMPNOMISED SERVICE LINE. <br /> BILL TO: TETRA TECH CONSTRUCTION SEREVICES,INC. <br /> ATTN.: JEFF DANNER <br /> 3700]4TH AVE NE <br /> EVERETT,WA 98205 <br /> PIi#425-252-4753 FAX# 425•252•70J7 <br /> Compleled By Approved By <br />
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