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2519 MADISON ST 2016-01-01 MF Import
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2519 MADISON ST 2016-01-01 MF Import
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Last modified
4/28/2017 11:05:58 AM
Creation date
2/17/2017 10:16:08 PM
Metadata
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Template:
Address Document
Street Name
MADISON ST
Street Number
2519
Imported From Microfiche
Yes
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Issued By whtw <br />Issued Departmentrw <br />Dale Issued enznooa <br />Fw:d 4a� <br />Program <br />'-����. :i��:: <br />Work Activity Work Order <br />WARD, MICHAEL W. <br />PUBLIC WORKS <br />Accounl s Program »o Function »y Activity fi75 <br />TiIIC REPAiR 2519 MADISON ST 710119675 <br />Work Order No 20080651 Project Aclivily Type SERVICE REOUEST <br />Dale si�y2ooa Time t5:�o Originai WO Billing swic <br />Customer Information <br />Cuslomer Name coMez, ROGER <br />Address 2s�e <br />Apartment No <br />State <br />Subdivision <br />Street Mnoisor+sr <br />City <br />Zip <br />Phone No f a25 ) 74a•275e Ezl <br />Second Phone ( ) - Ext <br />E-Mail Address <br />Problem Information <br />Address y5�g <br />From Cross Street <br />To Cross Strcet <br />Ciry <br />Subdivision <br />Problem WATER WATER <br />Sub Problem <br />Requested By HSR HOFFMAN, STEVEN R. <br />Agency <br />Initiated From PUBLIC PUBLIC <br />U(ility Locate (USAj No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To WMW <br />Assigned By <br />Slreel MADISON ST <br />Map Bock <br />Called Date <br />WARD, MICHAEL W. <br />Customer ld <br />Zip <br />Change Map Y!N <br />Map Reference <br />Expiration Date <br />� <br />Status CL <br />Date Reyuested en2nooe <br />Related Request 000�2ezs <br />Priority Estimated Hours <br />Assigned Date __ To Be Comp Dale <br />ScheduledDate ScheduledTime _____ <br />Route Route Sequence <br />Comments REPLACED METER VALVE <br />BILL TO: ROGELIO GOMEZ <br />2519 MADISON ST <br />EVERETT, WA 9820J <br />Action Taken REPLACEO METER VALVE. 00 NOT CHARGE FOR ME7ER BOX PER MIKE WARD <br />COrt�plCled By KTJ KELSO, THOMAS J. Apj)fOVOd By . <br />. .. _. _ _ . -- <br />Slart Dale � / Time Date Completed envzooe Time <br />—__ _._ --_ ---_ <br />Job Cosl In(ormalion(Y/N) Follow Up? Permil No <br />
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