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Wark Activity INork Order <br />ISSUEd By SJT2 SPOONER, JAMES T. <br />Issued Departmentrw PUBLIC WORKS <br />Date Issued ai25�zo�a <br />Fund qo� Account 5 Program <br />Program UT3473 a 3 <br />Titie CONVERT .75 INCH 1419 RAINIER AVE UT3473-03 <br />Work Order No 20140622 Project <br />Status sn5izo�a Time oe:zs Original WO <br />Pagr_ 1 <br />n/ia/zoia iz:ne <br />Function Activity <br />Activity Type CORRECTIVE MAINT[NANCE SfBfUS CL <br />Billing _ _ <br />Customer Information <br />Customer Name Customer ld <br />Address Street <br />Apartment No City <br />State Z�p <br />Subdivision Change Map Y/N <br />Phone No ( ) • Ext _ _ _ _ <br />Second Phone ( ) • Ext <br />E-Mail Address _ _ <br />Problem information <br />Address �q�g Street RAIN/ERAVE <br />From Cross Street <br />To Cross Street <br />City Zip <br />Subdivision Map Book Map Reference <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By Date Requested <br />Agency Reiated Request <br />Initiated From <br />Utiliry Locate (USA) No Called Date Expiration Date <br />Assignment Information <br />Dept Priority Estimated Hours <br />C�ew <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 />��omments <br />Action Taken CONVERT .75 INCIi CURB570P TO .75 INCH SETTER WITH MFTER AND 80%. FLAT TO MF TER <br />PROJC-CT. <br />Recommended Action <br />Approved By HLJ Husev, tnNce �. Job Cost Information(YIN) _ <br />Start Date i � Time __ ___ Date Completed aiv2o�a __ _ Permit No <br />__ --- <br />Completed By Time Follow Up? <br />