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h <br />page i <br />Work Activity Work Order ___ 5,;,,�,5 ,3_5� <br />ISSUed By CSG CAVANAH,SHANE G. <br />Issued Department aw PUBLIC WORKS <br />Date Issued areizo�s Account s Program ��o <br />Fund 401 <br />Program REpq�R .75 INCH 7104 MORGAN RD 710119675 <br />TiUe Activity Type <br />Work Order No <br />2015Q642 Project <br />Status 3is�2ot5 Time 2zz� Original WO ____— <br />Customer Information <br />Customer Name HOFF, HOWARD <br />Address 7ioa <br />ApartmentNo <br />State wA <br />Subdivision <br />Phone No ( az5 ) ssa•s�oa <br />Second Phone � � ' <br />E-Mail Address <br />Problem Information <br />Address 7104 <br />From Cross Street <br />To Cross Slreet EVERFTT <br />Ciy <br />Subdivision <br />Street rnoacaN Ro <br />Clfy EVERETT <br />Zip <br />Ext <br />Fxt <br />Street MORGAN RD <br />Problem WATER WATER <br />Sub Problem LEAK LEAY. <br />Requested By BTM1 <br />qgency <br />Initiated From PUBLIC <br />Utiliry Locate (USA) No <br />Assignment Infor PU��oIC WoaKs <br />Depl PW <br />Crew <br />Contraclor <br />Assi�ned To �SP <br />As+,igned By <br />Assigned Date _— _ <br />Scheduled Date __ _ <br />Route <br />Comments <br />Map Book <br />BERGER, TIM M. <br />p�9LIC <br />Called Uate <br />ANDERSON. SHI1N P <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Action Taken REPLACED SADDLE FIXED HOT, RESTORED. <br />Recommended Action <br />qpptOVC'd BV HLJ NUSEY,LANCEJ. <br />� � Time <br />Start Date _ <br />Completed By — <br />Fanction t�? <br />Activiry c�s <br />SERVIC[ REDUEST Sf8lU5 CL <br />n9 ------ <br />Customer ld <br />Change Map YIN <br />Zip <br />Map Reference <br />Date Requested 3191Y015 <br />Related Requesl oo�aeoe9 <br />Expiration Date <br />Pnority � Estimated Hours <br />Job Cost Informalion(YIN) <br />Permit No <br />Date Completed amisu�__ 5 _ ' <br />Time Follow Up? ____. <br />