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Page 1 <br /> lNark Activity V11ork Order 12�11�_�1, 15:28 <br /> ISSUed By 'NMW WARD,MICHAEL W. <br /> Issued DepaRme:nt�w PUBLIC WORKS <br /> Date Issued v�ano�2 Activit eaa <br /> Fund na� Accour.:e Program �io Function tte Y <br /> Program <br /> TIfl2 SO.75 iNCH 10308 HOLLY DR 710179664 <br /> WOfk OfdBf NO 20122114 PfOJBC� Activity Type CORRECTIVE MAINTENANCE Stafll5 CL <br /> StaWs _9��4izo�z_ Time os:ao _Original WO so�sis� Billing_ _____—___—_ - <br /> Customer Information Customer ld <br /> Customer Name SEATTLE PACIFIC HOMES <br /> Address Street <br /> Apartment No City <br /> State Z�p <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext ---------_------ <br /> Second Phone ( ) - Ext <br /> E-MailAddress ------ -- -- <br /> Problem Information <br /> Address J0308 Street HOLLYDR <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated From <br /> Utility Locate(USA) No Called Date Expiration Date <br />_� Assignment Information <br /> Dept Priority Estimated Hours <br /> I Crew <br /> Contractor <br /> Assigned To <br /> Assigned By To Be Comp Date <br /> Assigned Date _ ___ — --- <br /> � Scheduled Time <br /> Scheduled Date __. ---- <br /> Route Route Sequence <br /> Comments <br /> Action Taken NEPTUNE METER N910508741NSTALLED OFF.RF#1832056122 <br /> Recommended Action <br /> Approved By so� SMITH,DAVID G. JOb COSt IflfOffllatl0fl(YIN) _ _ <br /> Time �ate Completed �o�aizo�z Permit No _ <br /> Start Date � � -- — <br /> -- <br /> Completed By _ Time Follow Up _________ <br /> y ' <br /> -- ---- <br /> rr_ � <br /> -- =:,,. ,, - _. <br /> , .�,�,�, ��: <br /> ; ...,�: _. , M. : <br />