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i <br /> Work Activity Work Order Pa:,` 1 <br /> io/a/zoiz e:s� <br /> ISSUed By SJT2 SPOONER,JAMES T. <br /> issued Department Pw PUBLIC WORKS <br /> Date Issued ��z��zut2 <br /> Fund qot Account 5 Program Function Activity <br /> Progrem UT347a z 3 <br /> Tlll@ CONVERT.75 INCH 616 PILCHUCK PATH UT3473-23 <br /> Work Order No 20�21701 PfOJBC� Activity Type CORRECTIVE MAINTENANCE S�8►US CL <br /> Status �iznzotz Time o920 _ Original WO _ Billing _ _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No ��ty <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No l > - Ext _ __ _____ __ <br /> Second Phone ( > • Ext <br /> E-Mail Address --- — ------- <br /> Problem Information <br /> Address 616 Street p��ChIUCK PATN <br /> From Cross Street <br /> To Cross Street <br /> City ��P <br /> Subdivision Map Book Map Fteference <br /> Problem WATER WATER <br /> Sub Problem OTNER OTHER <br /> Requested By Date Requested <br /> Ag=ncy Related Request <br /> Init ated From <br /> U!illty Locate (USA) No Called Dale Expiration Date <br /> E\ssignment Information <br /> Dept Priority Estimated Hours <br /> CreN <br /> Contractor • <br /> Assigned To <br /> Assigned By <br /> Assigned Date __ ___ To Be Comp Date _ <br /> Scheduled Date ___ ____ Scheduled Time ____ <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSTOP TO.75 INCH SETTER WI METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ HUSBY,LANCE J. JOb COSI If1(OffT18lI0f1(YIN) <br /> Start Date , i Time _ __ Date Completed siv2o�z _ Permit No <br /> Completed By Time Foliow Up? <br />