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Work Activity Work Order pa9e 1 <br /> 9/13/2011 19:49 <br /> ISSUOCI BY CSG CAVANAH,SHANE G. <br /> ISSU2C1 D?parlment Pw PUBLIC WORKS <br /> Date Issued eieizo�� <br /> Fund aot Account s Progr,am »o Function »y Activity s�s <br /> Program <br /> TIIIO RENEW 1 1NCH 701A E MUKILTEO BLV�710119fi75 <br /> Work Order No 20111635 PfOJOC� Activity Type CORRECTIVE MAINTENANCE SIBtUS CL <br /> Status eisi2o�� Time oe:es Original WO zo��t3iz Biliing_ <br /> Customcr Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( 1 - Ext <br /> Second Phone ( > - Ext <br /> E-Mail Address <br /> Problem Intormation <br /> Address 701 Street E MUKILTEO BLVD <br /> From Cross Slreet <br /> Tu Cross Street <br /> City Zip <br /> Subdivision Nap Book Map Reference <br /> Pro6lem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated Prom <br /> Utility Locate (USA) No Calied Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time _ ___ <br /> Roule Route Sequence <br /> Comments <br /> Action Taken CONNECTED 1"SERVICE TO NEW 8"MAIN. <br /> Recommended Action <br /> Approved [iy wo� WEAVER, DEAN L. JOfI COS�IflfOff118�1Of1(Y/N� <br /> Start Date � � Time Date Compleled anerzoi� _ Permit No <br /> Completed By_ _ _ _ _ ____ ___ Time ___ Follow Up?_ _ <br />