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� <br /> Work Activity Work Order '� : <br /> ISSUCd By SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued nav2ooe Activit <br /> Fund aot Account s Program ��o Function �ty y e�s <br /> Program <br /> TiUC CONVERT]51NCH 1129 MAPLE ST 770119675 <br /> Work Order No 20092115 Project Activily Tyne SERVICE REDUEST Status c� <br /> Slatus �i3vzoos Time ort� Original WO Billing <br /> Customer Information Customer ld <br /> Customer Name LINDENMUTH,CAROL <br /> AddfCSS 926 SlfC01 MAPLE ST <br /> Apartmenl No City <br /> State Zip sa2o� <br /> Subdivision Change Map Y/N <br /> Phone No ( 425 ) 551-63a5 Exl <br /> Second Phone 1 1 • Ext <br /> E-Mail Address <br /> Problem information <br /> Address ��pg Slreet �yqpLEST <br /> From Cross Street <br /> To Cross Street <br /> Cily Zip ee2o1 <br /> Suhdivision Map Book Map Re(erence <br /> Problem WATER WATER <br /> Sub Problem LEAK LEAK <br /> Requested By HSR HOFFMAN,STEVEN R. D810 RequC510d 712912009 <br /> Related Request oaaettte <br /> Agency <br /> Initialed From Puauc r'uouc <br /> Utility Locate(USA) No Called Dale Expiration Date <br /> Assignment Information <br /> Depl Pw PUI3LIC WORKS Priorily Estimated Hours <br /> Crew <br /> Conlraclor <br /> A551gf10d TO SJT2 SPOONER,JAM1tES T. <br /> Assigned By <br /> Assigned Dale �iZ9iZoos To Be Comp Dale <br /> Scheduled Date Scheduled Time <br /> Roufe Route Sequence <br /> Comments <br /> Action Taken MEASUREMENTS ON GO-SYNC ARE THE SAME. <br /> Recommended Action <br /> Approved By suG stitnn,onwo�. Job Cost Informalion(Y/N) <br /> Date Com leted ennooe Permit No <br /> Slart Date i i Time P <br /> Completed dy Time Follow Up? <br /> �I"J <br /> it� <br />