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Work Activity Work Order pa9e 1 <br /> 9/33/2011 19:48 <br /> ISSUBd BY CSG CAVANAH,SHANE G. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued eteizot� <br /> Fund qo� Account s Prcgram »o Function ��y Activity en <br /> Progrem <br /> Title INSTALI HYORANT 707 E MUKILTEO BLVD 710119677 <br /> WOfk Ofdef NO 20111615 PfOjeC1 Activity Type CORRECTIVE MAINTENANCE SfeIUS CL <br /> StaWs eiano�� Time �s:z5 Original WO zo11131z Billing _ _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No ���Y <br /> State Z�P <br /> Subdivision ChangePtap YIN <br /> Phone No ( ) - Ext <br /> Second Phone ( ) - Ext — <br /> E-Mail Address __ _ ___ <br /> Problem Information <br /> Address Street <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <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 Dale <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> ACti011 TdkCfl INSTALLE�J 1121NCH BURY MEULLER HYDRANT,M.J.ON NEW 8"MAIN. <br /> Recommended Action <br /> Approved By wo� v�AveR,oenN�. Job Cost Information(YIN) <br /> Start Date i � Time Date Completed eneizot� Permit No_ _ <br /> Completed By _ _ _ _ __ _ Time __ Foilow Up7 __ _ <br />