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;ace 1 <br /> Work Activi�ty Work Order lo„�,�,1, 15:SU <br /> ISSUed 8y WMW WARD,MICHAEL W. <br /> issued Department rw PUBLIC WORKS <br /> Date Issued vzai2ots <br /> Fund eoi Acco�nt s Progrem 7ta Function tts Activity Fsa <br /> Program <br /> TitIE SO.75 IN�H 9509 7R0 FVE SE 710119664 <br /> WOfk OfdE�NO 20'�33057 PfOJ2C� Activiry Type CORRECTIVE MAINTENANCE St8lU5 CL <br /> $18IUS _ _ _91232013 TI�I',8 12_43 �fl]1081�/� 5043226 _ �tiilfl9 _ __ __ _____ __ ___ — <br /> Customer Inform�tion <br /> Customer Name KENRIDGE PARK LLC Customer ld <br /> Addf055 �y0 S(�BQt SW EVERETT MALL WAY <br /> Apartment No ��ty <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( i - Ext —— —- --.- _----- <br /> Second Phone ( ) - Ext <br /> E-Mail Address _ ---- — ----- — <br /> Problem Information <br /> Address gspg Street 3RD A VE SE <br /> From Cross Street <br /> To Cross Sheet <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem • <br /> Sub Problem Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated From <br /> Utility Locatr (USA) No Called Date Expiration Date <br /> Assignment Information <br /> � Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To 8e Comp Date <br /> Scheduled Date __ ___ Scheduled Time ____ <br /> Route Route Sequence <br /> Comments <br /> Action Taken INSTALLED METER#93411070,RFp1834862067. WATER LOCHED OF F. <br /> Recommencled Action <br /> Approved By HW Husev,wNce�. Job Cost Infc m(Y/N) <br /> — — <br /> - -- --- Permit No <br /> Start Date i i Time _ _ Date Completed eizarzo�a __ __— <br /> Completed By Time Follow �r' --- - <br />