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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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. . ',.�* � n..� iF :..,4 S.� �.,r <br /> n���� i <br /> Work Activity Work Order ,,, ,,:,,�,�� ,,:27 <br /> ISSUed By WMW WARD,MICHAEL W. <br /> Issued DepartmenlPw PUBL�CWORKS <br /> Dale Issued ioitenoo� Flclivil <br /> Fund aot Account s Program �to Funclion u9 Y 675 <br /> Program <br /> T111e REPAIR 331 ELti7 ST 710119675 <br /> Work Order No 20070953 Projecl Activiry Type seavice R[OU[5T Status PR <br /> Dale toneizoo� Time n22 Original WO Billing <br /> Customer Information <br /> Customer Name TECTRA-TECN CUS1001@f I(J JOHN <br /> Address Slreel <br /> Aparlmenl No City <br /> Stale Z�F� <br /> Subdivision Change Map YIN <br /> Phone No ( azs I sae•2sio Ext <br /> Second Phone ' 1 - Exl <br /> E-Mail Address <br /> Problem Information <br /> Address 331 Slreet ELM ST <br /> From Cross Streel <br /> To Cross Street <br /> Cily Z�4� <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem <br /> RCqUCSICd By HSR HOFFMAN,STEVEN R. DeIC RCquCSl�d f011 6120 0 7 <br /> {�QI�ICd fZCqUCSI 00066293 <br /> Agency <br /> Iniliated From PUBLIC PUBLIC Ex iretion Date <br /> Ulilily Locate(USA) No Called Date P <br /> Assignment Information <br /> Dept Pw PUBLIC WORKS Priority Estimated Hours <br /> Crew <br /> Conlrector <br /> Assic,ned To WMW W�RD,MICH�EL W. <br /> Assigned By <br /> Assigned Dale To Be Comp Date <br /> Scheduled Dste Scheduled Time <br /> Route Roule Sequence <br /> Comme�ts <br /> Action Taken VACTORED DOWN TO LINE AND REPLACE�2FT OF COMPROMISED SC-RVICE LINE. <br /> BILL TO: TETRA TECH CONSTRUCTION SEREVICES,INC. <br /> A7TN.: JEFF DANNER <br /> 3700 34TH AVE NE <br /> EVERETT,WA 98205 <br /> PHIi 425•252-0753 FAX# 425-252-7037 <br /> Compleled By /�i/��� �j ,L��, Approved By <br /> v�- <br />
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