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M'��w ��� <br />Work Activity Work Order <br />Issued By CSG CAVANAH,SHANE G. <br />Issued DepartmentPw PUBLICWORKS <br />Date Issued anyzo�t <br />Fund ao� Account5 Program �to Function tts <br />Program REPAIR .75 INCH 725 NILES AVE 710119675 <br />Title <br />Work Order No 20110633 Project Activity Type SERVICE REQUEST <br />Status anzrzo�� Time oe:s� Original WO Billing <br />Customer Information <br />Customer Name SCHRODER <br />Address �zs <br />Apartment No <br />State <br />Subdivision <br />Phone No ( s6o ) 9ataaas <br />Second Phone � > - <br />E-Mail Address <br />Problem I�foi,�+etion <br />Address 725 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivis:on <br />Street Ni�es nve <br />City <br />Zip <br />Ext <br />Ext <br />Street NILES AVE <br />Prob�em WATER WATER <br />Sub Prabiem LEAK LEAK <br />Requested By s�r <br />Agency <br />Initiated From PUBLIC <br />Utility Locate (USA) No <br />Assignment Information <br />Dept Pw PUBLIC WORKS <br />Crew <br />Contractor <br />Assigned To csG <br />Assigned By <br />Assigned Date <br />Scheduled Date <br />Route <br />Comments <br />Map Book <br />SKAGEN, JEFFREY T. <br />PUBLIC <br />Called Date <br />CAVANAH, SHANE G. <br />To 8e Comp Date <br />Scheduied Time <br />Route Sequence <br />Customer ld <br />Change Map YIN <br />Page 1 <br />5/7/2011 16:51 <br />ACfiVIF� 675 <br />Status c� <br />Zip <br />Map Ref>rence <br />Date Requested 0l14M011 <br />Related Request aao9�asa <br />Expiration Date <br />Priority Estimated Hours <br />Action Taken BILL JOB. BILL TO KLB CONSTRUCTION. P.O. BOX 158 MUKILTEO WA 98275. <br />ReCOntttlended ACtiO� BILL TO: KLB CONSTRUCTION <br />P.O BOX 158 <br />MUKILTEO, WA 98275 <br />