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Work Activity Work Qrder <br />� <br />�;�, : <br />�: ; <br />ISSUCd BY CSG CAVANAH, SHANE G. <br />Issued Deparlment rw PUBLIC WORKS <br />Date Issued tonenooe <br />Fund ao� Account s Program ��o Function »y Activity s�s <br />Proc�ram <br />Title RENEW 751NCH 514 OLYMPIC �LVD. 710119675 <br />WOfk OI'd�f NO 20092959 PfOJBCf ACGVItY Ty�C CORRECTIVE AIAWTENANC[ SleluS CL <br />StaWs to�26�200o Time �z:tz Original WO zoo9za�t Billing <br />Customcr Informalion <br />Customer Name <br />Address <br />Apariment No <br />State <br />Subdiwsion <br />Phone No ( 1 <br />Second Phone 1 1 <br />E-Mail Address <br />Problem In(ormation <br />Address 514 <br />From Cross S�reel <br />To Cross Street <br />Ciry <br />SubdWisian <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Inilia�ed From <br />Utility Locatc (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Conlractor <br />Assigned To <br />Assigned Qy <br />Assigned Date <br />Scheduled Date <br />Roulc <br />Comments <br />Street <br />City <br />Zip <br />Exl <br />Exl <br />Street OLYMPIC BLVD <br />Map Book <br />Called Dale <br />To Be Comp Date <br />Scheduled Time <br />Roule Sequence <br />Action Taken MA�L- S[RVICE CONNECTION TO NEW MAIN <br />Recommended Action <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Relaled Requesl <br />Expiration Date <br />Priorily [stimaled Hours <br />Approved By �GM2 8[UNERS, GEORGE At. JOb .;osl Information(Y/N) <br />Start Dale � � Time Date Completed 1 012 912 0 09 <br />Coinpleled f3y Time Follow Up? <br />Permit No <br />