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i <br /> Page 1 <br /> Work Activity Work Order lo�„ZoIZ e:se <br /> ISSUBd BY SJT2 SPOONER,JAAIES T. <br /> Issued Department rw PUBLIC WORKS <br /> Date Issued �n7lzot2 <br /> Fund not Account s Program Function Activity <br /> Program UT3473 z 3 <br /> TIIIO CONVERT.75 INCH 555 PILCHUCK PATH UT3473-2•3 <br /> Work Order No Z��Z�702 Project Activity Type CORRECTIVE MAINTENANCE S�8�U5 CL <br /> Status ��vizo�z Time oe:zs Original WO ___B�Iling ___ _— <br /> Customer Information Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( > • Ext ___ __-_- <br /> Second Phone ( � - Ext <br /> E-Mail Address -- - -- <br /> Problem Information <br /> Address 555 Street p�LCHUCK PATH <br /> From Cross Street <br /> To Cross Street ZiP <br /> City Map Book Map Reference <br /> Subdivision <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER Date Requested <br /> Requested By Retated Request <br /> Agency <br /> Initiated From Ex iration Date <br /> Utility l.ocat� (USA) No Called Date p <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor ' <br /> Assigned To <br /> Assigned By To Be Comp Date <br /> Assigned Date __.__ _ - <br /> Scheduled Date ____ Scheduled Time _ <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP T0.751NCH SETTER WI METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ Hussv, �aNce�. Job Cost Information(Y/N) <br /> —" � � 'iime Date Completed e�e�2o�z Permit No <br /> Start Date __ ---- - - <br /> Completed By Time Follow Up? <br />