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� <br />1Nork Activity Wark Order <br />1SSUCd By SJT2 SPOONER, JAMES T. <br />Issued Department �w PUBLIC WORKS <br />Date Issu�d GI701'.'003 <br />Fund qo� Account5 Proyram ��p Function >>y Actn�ry ��5 <br />Program <br />TI110 �tLPAIR &708 OLYMPIC DR 710719675 <br />Work Order No 20090717 Project Aclivdy Type coiiaEclive r.�auareru,ra�,f Status c� <br />StaWs 6ilo�zon� Tmie ia2� Onginal WO Hltling <br />Customcr Information <br />Cuslomer Name <br />Address Street <br />Aparlment No City <br />Slate �ip <br />Subdivision <br />Phone No � 1- Ext <br />Second Phone 1 1- Ext <br />E-Mail Address <br />Problem Information <br />Address G408 Sireet OLYMPIC OR <br />From Cross Slreel <br />To Cross Streel <br />Cily <br />Subdivision Map Book <br />Problem <br />Sub Problem <br />Requested Dy <br />Agency <br />Initialed From <br />Utilily Loc2tc (USA) Nu Called Dale <br />Assignment Information <br />Custamr.r ld <br />Chanc�e Map 1'iN <br />Zip <br />Map Referenco <br />Dale Requested <br />Related Requesl <br />[xpiration Dale <br />Depl Priority <br />Crew <br />Contraclor <br />Assigned To <br />Assigned Dy <br />Assigned Date To Be Comp Uale <br />Scheduled Date Scheduled Time <br />Route Route Sequencc <br />Comments <br />ACll0t1 T3kCf1 REPAIR SL'RVICE LINE AT MAINICONTRACTOR PACK JOINT <br />Recommended Action <br />�pproved By Kr� F<ei_su. i iior,�ns �. <br />Slarl Dat� � � Timc <br />Compleled [3y <br />[stimated Houis <br />Job Cost In(onnation(1'1IJ) <br />Dale Completed 5no�2oo5 Pernul No <br />Time Follow Up? <br />`13 <br />