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3 <br /> �� � � �,�Q � <br /> Work Activity Work Order f'ay.. � <br /> a����z�o� . . . <br /> Issued By WMW WARD,MICHAEL W. <br /> Issued Deparlment Pw PUBLIC WORKS <br /> Date Issued 7/1912006 <br /> Fund aot Accounl s Program »o Function »g Activity s�s <br /> Program <br /> TitlB REPAIR 7022 OLYMPIC DR 710719675 <br /> Work Order No 20061205 Projecl Aclivity Type SERVICE REOUEST Status c� <br /> Date �n9noos Time i5:as Original WO Billing <br /> Customer Information <br /> Customer Name NORMAN,RICH Customer ld <br /> Address �o2z Street oLrMpic oR <br /> Apartment No City <br /> State Zip se2o3 <br /> Subdivision Change Map Y/N <br /> Phone No l azs l 75a-918t Exl <br /> Second Phone 1 azs ) zsz-�o�o Exl <br /> E-Mail Address <br /> Problem Information <br /> Address �pZp Slreet OLYMPIC DR <br /> From Cross Street <br /> To Cross Street <br /> Cily Zip sazo3 <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem LEAK LEAK <br /> Requested By CF CHRISCADEN, FRED Date Requesled 711912006 <br /> Agency Reiated Request 0005e7se <br /> Iniliated From PUBLIC PUBLIC <br /> Utitity Locate (USA) No Called Dale Expiration Date <br /> Assig�ment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> ASSigned TO WMW WARD,MICHAEL W. <br /> Assigned By RECCIR�S <br /> Assigned Date �it�nooe To Be Comp Date <br /> Scheduled Date Scheduled Time �Q�� 2 4 20�6 <br /> Route Roule Sequence <br /> Comments <br /> ACtIOn Tek¢fl CRIMPED,CUT AT PIN HOIE AND INSTALLED UNION <br /> BILL TO: QUILCEDA PAVING AND CONSTRUCTION,INC. <br /> ATTN MICK MCDONOUGH <br /> PO BOX 3791 <br /> ARLINGTON,WA. 98223 <br /> PHONE p 425-252•7070 FAX# 425-252-1079 <br />