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�7-�:-/z 5?���/ X��n„tiG"�-z� <br />Work Activity Wark Order <br />ISSUEd BV WMW WARD, MICHAEL W. <br />Issued Depa:tmentrw PUBLICWORKS <br />Date lssueG 6I26/2006 <br />r;md ao� Account 5 Program ��p <br />� rogram <br />TiIIP. REPLACE 5801 LOMOAR�AVE 710119G75 <br />Wark Order No 20061120 Project <br />Date eize�2ooe Time io:as Original WO <br />Customer Information <br />Customer IJame LARSON, <br />Address 5801 <br />Apartment No <br />State <br />Subdivision <br />Phone No ( 425 ) 438A312 <br />Second Phone ( ) - <br />E-Mail Address <br />Problem Information <br />Address 5801 <br />From Cros, Street <br />To Cross Street <br />City <br />Subdivision <br />Function �iy <br />Activity Type SERVICF REOUEST <br />E3illing <br />Customer ld <br />SifQf?f LOMBARD AVE <br />City <br />c'I�l 9B2O7 <br />Ext <br />Ext <br />Change Map Y/N <br />Street LOMBARD AVE <br />Problem WATER WATER <br />Sub Problem LEAK LEAK <br />Requested By Hsc <br />Agency <br />Initiated From PUBLIC <br />Ulility Locate (U°A) No <br />Assignment Information <br />Dept PW PUBL�C WORKS <br />Crew <br />Contrector <br />Assigned To wMw <br />Assigned By <br />Assigned Date _______ <br />Scheduled Date <br />Route <br />Comments <br />Zlp 98203 <br />Map Book <br />!1ARTLEY, S�MUEL C. <br />PUBLIC <br />Called Date <br />Priority <br />WARD, MICHAEL W, <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Map Referznce <br />Expiration Date <br />,�7cc �, /�;l c> <br />r�,�,•:• � <br />,si;:ciace� io:.i�, <br />Activity b�s <br />$l8(US PF <br />Date Requested s�z�reoos <br />Related Request 000ss�es <br />Estimated Hours <br />Action Taken --� -2-�-�-� C'-- _ P�-//��"c'�-a` St�'v'' c-2_ l�+- c� �%'--i�zGl�/�- <br />U_ _ _- - - _ <br />� t�t,-�,c. _ � �-� _�, __ �-,,.-..Z, t�_ �_ <br />I _ <br />_ - <br />� � <br />--- -,��r' �a� Lr�/% 6' ,L. � �� ,�' �-- � �, ' �•� ,.o-��' <br />, `J �� <br />� � �� �j�t��� �2' GL`� [.L_ � G� L� "7� ��'�•-ty-7 f, <br />L �\ / <br />