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Issued By WM�v <br />Issued Departmentpw <br />Date Issued qnnoto <br />Fund 4ot <br />Program <br />Work Activity Work Ord�r <br />WARD, MICHAEL W. <br />PUBLIC WORKS <br />Account s Program »o <br />Tille SO 61NCH FIRE 1510 SE EVERETT MALL WY 710119664 <br />VJork Order No Z0100975 Project Activity Type <br />Pit8lU5 4/7/2010 TIfTIB 13:44 Qripinal WO I <br />.ustomer Information <br />Customer Name <br />Address <br />Aparlment No <br />State <br />Subdivision <br />Phone No ( <br />Second Phone ( <br />E-Mail Address <br />Problem Information <br />Address <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utilily 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 />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street <br />Map Book <br />Calied Date <br />To Be Comp Date <br />Scheduled Tiine <br />Route Sequence <br />runction t�s <br />Customer ld <br />�ILL JOB <br />Page 1 <br />5/13/2010 9:29 <br />Activily ssa <br />CORRECTIVE MAINTENANCE <br />Change Map YIN <br />Zip <br />Map Reference <br />Date Requested <br />Related P.eqtiest <br />Expiration Dale <br />Priority Estimated Hours <br />Action Taken BILL JOB: NEPTUNE METER #83317982. 6" ON 12" TAP. CONTRACTOR TO DO ALL THE WORK <br />EXCEPT THE TAP 8 CONNECTION. INSPECTOR RE�UIRED TO BE ON SITE. PER MIKE WARD <br />3124I10. <br />RBCOrt1rt1Bnd8d ACllOfl 81LL JOB TO: KIRTLEY COLE ASSOC LLC <br />1070 SE EVERE'I7 MAY WAY <br />EVERETT, WA 98208 <br />425-609-0400 <br />Stalus c� <br />