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Work Activity Work Order <br />� <br />BILL JOB <br />��:. <br />, ,� . <br />ISSUed By WMW WARD, MICHAEL W. <br />Issued Deparhnenl Pw PUBLIC WORKS <br />Date Issued 7710I2009 <br />Fund ao� Flccount s Program »o Function »y Activity e�s <br />Program <br />TIUC RELOCATE 1234 W MARINE VIEW OR 710719675 <br />Work Order No 20090836 PfOfCCI Activity Type CORRECTIVE MAINTENANCE $l2tUS Cl <br />Slatus �nonoos Time ia:sa Original WO zoosoe�� Billing <br />Customer Irformation <br />Customer Name <br />Address <br />Apartmenl No <br />State <br />Subdivision <br />Phone No � 1 <br />Second Phone 1 1 <br />E-Mail Address <br />Problem Intormation <br />Address 1234 <br />From Cross Street <br />Tn Cross Street <br />Ciry <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />initialed From <br />Ulilily Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contraclor <br />Assigned To <br />Assigned By <br />Street <br />City <br />Zip <br />Exl <br />Ext <br />Street yy MARINE VIEW DR <br />Map Book <br />Calied Date <br />Assigned Dale To Be Comp Dale <br />Scheduled Dale Scheduled Time <br />Roule Route Sequence <br />COrt1nlCntS BILL JOB: PORi OF EVERETT. <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map Re(erence <br />Dale Requested <br />Related Request <br />Expiration Dale <br />Priority Estimated Hours <br />Action Taken MOVED BACK BEHIND SIDFWALK. INSTALLED SETTER. SERVICE IS .751NCH, USED SAME <br />METER. <br />Recommended Action <br />Approved By soc snunt onvio c Job Cost Informalion(Y1N) <br />Slar1 Date � i Time Date Completed �llanoos <br />Completed By Time Follow Up? <br />Permit No <br />