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Issued By - — — wMw <br />Issued DepartmentPw <br />Date Issued 3141207J <br />Fund ao� <br />Page 1 <br />Work Activity Work Order �,l,Z�l, lo:,, <br />WARD, MICHAEL W. <br />PUBLIC WORKS <br />Account5 Program �ta <br />Prcgram REPAIR 1611 HOLLOW DALE PL 710119677 <br />Title <br />Work Order No 20130528 Project <br />Status sianot3 _ Time oe5a __ _Original WO <br />Customer Information <br />Customer Name EPo <br />Address <br />ApartmentNo <br />State <br />Subdivisio� <br />Phone No � � - <br />Second Phone � � - <br />E-Mail Address <br />Problem Information <br />Address 1600 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Function t�e Activity sn <br />Activity Type SERVICE RE�UEST <br />Billing -----_ _.-- <br />Street HOLLOW DALE PL <br />Map Book <br />Problem WATER WATER <br />Sub Problem HYDRA HYDRANTS <br />Requested By HSR NOFFMAN, STEVEN R. <br />Agency <br />Initiated From oco <br />Utility Locate (USA) No <br />Assignment Information <br />Dept PW PUBLIC V':ORKS <br />Crew <br />Contrector <br />Assigned To css <br />Assigned By <br />A�signed Date __. _ __ _ <br />Scheduled Date _ __ _ _ <br />Route <br />Comments <br />OTHER CITY DEPARTMENTS <br />Called Date <br />CAVANAH.SHANE G. <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Change Map YIN <br />Status c� <br />'Lip <br />Map Reference <br />Date Requested 91412013 <br />Related Request ooittaa� <br />Expiration Date <br />Priority Estimated Hours <br />Action Taken INVOLVED IN VEHICLE ACCIDENT. SEE POLICE REPORT CASE It 13-0171. <br />BILL T0: ADOLPH SANCHEZ <br />1606 HOLLOWDALE PL <br />EVERETT, WA 98204 <br />Recommended Action <br />