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Work Activity Work Order Pa3e � <br /> a/ie/zoio is:as <br /> ISS11@d By CSG CAVANAH,SHANE G. <br /> Issued Department Pw PUBLIC WORKS <br /> Datelssued v�eno�o <br /> Fund qo� Account s Program »o Function »y Act;vity s�s <br /> Program <br /> TIfIC REPAIR.75 INCH SERVICE 6008 1ST DR SE 710119675 <br /> WOfk OfdO�NO z�����89 PfOjOCI ACliVlty TyPO SERVICE REQUEST SfBIuS CL <br /> Status _ _ _ tner2o�o Time i�:3s _ Original WO _ _ _ Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address soot Street tsr oR se <br /> Apartment No Cily EVERETT <br /> State Z�P <br /> Subciivision Change Map Y/N <br /> Phone No 1 1 - Ext <br /> Second Phone ( ) • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 6008 Street �ST DR SE <br /> From Cross Street <br /> To Cross Street <br /> City EVERETT Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem LEAK LEAK <br /> Requested By SKL2 SM111TH,KEVIN L. DBfC R0ql1QSf8d vte�2o�o <br /> Agency Related Request aooas3sa <br /> Inilialed From PUBLIC PUBLIC <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept rw PUBLIC WORKS Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To CSG CAVANAH,SHANE G. <br /> Assigned By <br /> Assigned Dale To Be Comp Date <br /> Scheduled Date _ __ __. Scheduled Time _ _ <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPAIRED WITH 21NSTATIE UNIONS. <br /> Recommended Action <br /> APp�OVed By BGM2 BEUKERS,GEORGE M. JOb COSt IflfOffi18t10f1(YIN) <br /> Slart Date � � Time Date Completed tieno�o Permit No __ <br /> Compleled By ______ Time Follow Up9 <br /> 1� <br />