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Work Activity Work Order <br />ISSU2d By HLJ HUSBY, LANCE J. <br />issued DepartmentPw PUBLIC WORKS <br />Date Issued yttizota <br />Fund aot Accounts Program <br />Program UT3473 a 3 <br />Title CONVERT.75 INCH 1915 RAIN�ER AVE UT3473�4-3 <br />Work Order No 20140446 Project <br />Status zn2i2ota Time ia:sa Original WO <br />Page '- <br />3/19/2014 12:51 <br />Funclion Activiry <br />Activity Type CORRECTIVE MAINTENANCE S28tUS CL <br />Billing <br />Customer Information <br />Customer Name Customer ld <br />Address Street <br />Apartment No Ciry <br />State ZiP <br />Suhdivision Charn e Map YIN <br />Phone No ( 1 - Ext <br />Second Phone ( ) • Ext — — <br />E-Mail Address <br />Problem Informatioo <br />Address �g�s Street RAINIERAVE <br />From Cross Street <br />To Cross Street <br />Ciry Zip <br />Subdivision Map Book Map Reference <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By Date Requested <br />Agency Related Request <br />Initiated From <br />Utility Locate (USA) No Called Date Expiration Date <br />Assignment Information <br />Dept Priority Estimated Hours <br />Crew <br />Contraclor <br />Assigned To <br />Assigned By <br />Assigned Date To Be Comp Date _ _ <br />Scheduled Date Scheduled Time !� � :,i ,�, � F j � ,� �; �I. <br />Route Route Sequence <br />Comments <br />Action Taken CONVERT .75 INCH CURBSTOP TO .75 INCH SETTER WITH METER AND BOX. FLAT TO METER <br />PROJECT. <br />Recommended Actien <br />Approved By HLJ HUSBY, LANCE J. <br />Start Date i � Time <br />Completed By <br />Job Costlnformation(Y/N) <br />Date Completed 211 9120 7 4 Permit No <br />Time Follow Up? <br />