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Work Activity Work Order <br />Fage 1 <br />z/is/�ois ii:sz <br />Issued By SJT3 SPOONER, JAMES T. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued �ziza�zota <br />Fund ao� Account 5 Program »o Function �te Activity s�s <br />Program <br />Title REPAIR .75 1NCH 1030 W MUKILTEO BLVD 710179675 <br />Work Order No 20143572 PfOJ2CI ACfIVIh+ Ty(J@ CORRECTIVE MAINTENANCE S►B►US CL <br />Status �2narzota Time oe:3e Original WO _ Billing __ <br />Cuatomer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( 1 <br />Second Phone (. ) <br />E-Mail Address <br />Problem Iniormation <br />Address 1030 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street yyMUKILTEOBLVD <br />Problen WATER WATER <br />Sub Problem NONPAY NON-PAYMENT BILL <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date _ <br />Scheduled Date _ <br />Route <br />Comments <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Zip <br />Change Map YIN <br />Map Reference <br />Expiration Date <br />Date Requested <br />Related Request <br />Priority Estimated Hours <br />111CR0�'d�,.i�r;• <br />Action Taken REPLACE .75 INCH CURBSTOP VJITH .751NCH SETTER, JUMPER, BOX AND LOCK OFF. <br />Recommended Action <br />Approved By AJJ ARCHAMBEAULT, JOHN J. JOb COSt If1(0��118ti0f1(YIN) <br />Start Date � i Time Date Completed �2iao�zo�a Permit No <br />Completed By Time _ .�: "�w Up? <br />