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� <br /> 1Nork Activity Work Order °" ' <br /> � : :, <br /> ISSUCd By MWE MOORE,WARREN E. <br /> Issued Department Pw PUBLIC WORKS <br /> Dale Issued 2isnoo9 <br /> Fund aoi Accounl5 Program »o Funclion >>e Activiry s�s <br /> Program <br /> TIIIC RENEW fi�90 OLYh1PIC UR 710119575 <br /> Work Order No 20090153 Project Activity Type sertwcE aeo�esr Status c� <br /> Stalus v:��zoos Tnne �5��� Oriymal WO Billing <br /> Customer Information <br /> Customer Name Mccov,onwo Cuslomer ld <br /> Address e�oa SIfCCI OLYMPIC OR <br /> Apartment No City <br /> Sla�e Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( azs ) 75]-5976 Ext <br /> Second Phane ( I • Ext <br /> E-"Aail Address <br /> Probiem Informalion <br /> l�ddress 6630 5t«�� OLYMPIC OR <br /> From Cross Street <br /> To Cross Slreel <br /> Ci�y Zip <br /> Subdivision Map 600k Map Re(erence <br /> Problem WATER WAT[R <br /> Sub Problem <br /> Requested By itsrt iior°i-r,�^N sr[veN re Date Requesled zis�zoo9 <br /> Agency Related Requesl 000�7225 <br /> Iniliated From PUDLIC �>uiiuc <br /> Ulilily Locate (USA) No Called Dale [xpiration Date <br /> Assignment Information <br /> Dept Priori�y Estimaled Hours <br /> Crew <br /> Con�raclor <br /> l�ssigned To Mwe e�ooiar_,�:��niai:i.N r- <br /> l�ssigned Dy <br /> P,ssigned pale z�snooe To [3e Comp Dalc <br /> Scheduled Dale Scheduled Time <br /> Ro�de Roule Sequence <br /> Comments <br /> Action Taken FOUND 2 PREVIOUS REPAIRS SO RC-N[WED SERVIC[. <br /> Recommended Action <br /> Approved By Kr� Kr_�so,rrio�.tns� Job Cosl Information(Y/N) <br /> Start Date i � Time Date Completed 2isnoos Permil No <br /> Comple�ed f3y Tiine Follow Up? <br />