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�i <br /> � <br /> � <br /> Work Activity Work Order Page 1 <br /> io/s/zoiz e:se <br /> ISSUed By SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued ��vizo�z <br /> Fund aot Account s Program Function Activity <br /> Program UT�d77 2 3 <br /> TIIIO CONVERT.751NCH 620 PILCHUCK PATH UT3473-23 <br /> Work Order No ZD1217U3 PiOJ2C� Activity Type CORRECTIVE MAINTENANCE St8�U5 CL <br /> Status _�iZ��2oiz Time o9:z9 Original WO ___ Billing _ ____ .____ __ _ _ __— <br /> Customer Information Customer id <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 620 Street PILCHUCK PATH <br /> From Cross Street <br /> To Cross Street ZiP <br /> City <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated From Ex iration Date <br /> Utility Locate (USA) No Calied Date P <br /> Assignment Iniormatian <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contracror ' <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.75 INCH CURBSTOP TO.75 INCH SETTER WI METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ Husev,tnNce d. Job Cost Information(Y/N) _ <br /> Time Date Completed a�s�2o�z Permit No <br /> Start Date i � ---- — <br /> Completed By Time Follow Up? <br />