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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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Work Activ�ty Work Order <br />ISSU2d BY WMW WARD, MICHAEL W. <br />Issued Department rw PUBLIC WORKS <br />Date Issued 811 212 0 0 8 <br />Fund qot Account5 Program �to Function tte <br />Program <br />TIU@ REPAIR 25191dADISON ST 710119675 <br />Wark Order No 20080651 Project Activity Type SERVICE REOUEST <br />Date anz�a.00a Time �s:to Original WO Billing swic <br />�.���� 1 <br />.,,« .-,. . .., <br />%�CIIVIIy 675 <br />Customer Information <br />Cuslomer Name GOMEZ, ROGER Customer ld <br />Address 2s�e Sl�OEI MAOISON ST <br />Apartment No ��{Y <br />Stale Z�P '[- <br />Subdivision ` Change Map YIN <br />�.. <br />Phone No ( a2s 1 aa4•z�sa Ext ����:- �,":� <br />Second Phone l 1- Ext <br />` - --_ ___ <br />E-Mail Address � ___ __ - <br />Problem Information <br />Address Y519 Street MADISON ST <br />From Crass Slreel <br />To Cross Street <br />Ciry �; Zip <br />Subdivision Map Book <br />Prablem WATER WATER <br />Sub Problem <br />ReqUCSled By HSR HOFFMAN, STEVEN R. <br />Agency <br />Initialed From PUBLIC PUBLIC <br />U�iliry Locate (USA) No Called Oate <br />Assignment informatio� <br />Depl <br />Crew <br />Contractor <br />ASSIgt12d TO WMW WARD, MICHAEL W. <br />Assigned 8y <br />Map RefErenc� <br />SlBtUs PR <br />Date Requested enyzooe <br />Related Requesi 000�z6zs <br />Expiralion Date <br />Priority Eslimated Hours <br />Assigned Date ___ __ To Be Comp Date __ <br />Scheduled Dale __ _ _ Scheduled Time _____ <br />Route Route Sequence <br />Comments ,.,, / � � � � l r/f <br />Action Taken REPLACED METER VAIVE ('�( �' J � �7c�'�' <br />BILL 70: ROGELIO GOME2 `II`� ��I� <br />2519 MADISON ST '7�� _ ��� �) <br />EVEREIT, WA 98209 ��0��.�-0� '� —(l�/ <br />Completed By_��-�vj�'�p� Approved By _ <br />_ — -- - <br />StartDate � ! Time DateCompleted (�(oZ� � li�ne <br />_ _ __----- _ - <br />_ <br />Job Cost Iniormation(YIN) Follow Up? Permit No <br />
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