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page 1 <br /> Work Activity Work Order �,2„ZooS e:46_ <br /> ISSl12d BY WMW WARD,MICHAEL W. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued eizanooe Account s Program no Functicn �ie Activity ezs <br /> Fund ao� <br /> Program <br /> TIt10 REPAIR191PHOYTAVE 710119675 <br /> Work Order No 20050829 Project Activily Type SERVICE REQUEST Status prt <br /> Date <br /> 812 312 0 0 5 Timeoa:zs Original WO ___ Billing__._ __ - --- <br /> Customer Iniormation CUSi01l1Ef Id JEREMY <br /> Customer Name PILCHUCK CONTRACT Si e�t <br /> Address <br /> Apartment No City <br /> State Z�P Cl�ange Map YlN <br /> Subdivision <br /> Phone No ( 25a ) 872-9797 Ext — <br /> Second Phone ( 1 - Ext <br /> E-Mail Address <br /> Problem Informatiori Street HOYT AVE <br /> Address 1918 <br /> From Cross S[reet <br /> To Cross Street ZiP <br /> City Map Book Map Reference <br /> Subdivisian <br /> Preblem WATER WATER <br /> Sub Problem Date Fequesled an3nooti <br /> Requested By HS{: HOFFMAN,STEVEN R. R�12led ReqUBSt U005030h <br /> Agency <br /> Initiated From PUBLIC PUBLIC Called Date Expiration Date <br /> Utility Locate(USA) No <br /> Assignment Information Priority Estimated Hcurs <br /> Dept <br /> Crew <br /> Contracror <br /> Assigned To WMW WARD,ti11CHAEL W. <br /> / <br /> Assigned By , r�/ 7o ge�omp Date ��Z^3 —�S <br /> Assigned Date W . RECORDS <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence ��p 2 g 2005 <br /> Comments LINE�S 4FT NORTH OF WHERE IT SHOU�C BE 8 CURVES TO THE <br /> NORTH,HEADING FOR AN APPARENTLV TURNED OFF GAS VALVE. <br /> Action Taken REPLACED 2FT OF POLY <br /> Completed By s��'`���`���ob Cost!nformation(YIN) <br /> Start Date i i Time <br /> Date Comple;�d �/�Z3i p� Time <br /> Approved E3y Follow Llp? Permit No <br /> 1 <br />