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� <br /> Work Activity Work Order ` '" ' <br /> :� �_., _ >>:�,� <br /> ISSIICd DY TD[7 THOMPSON,DWAYNE G. <br /> ISSUBd Department Pw PUDLIC WORKS <br /> Date Issued 1 21312 0 0 8 <br /> Pund ao� �account 5 Progran� �iu Func:ion tt� Activity a�s <br /> Program <br /> Ti�IC R[PNR 3027 iUL�LIP AVE 710119675 <br /> Worl:�Jrder No 20081098 Project Ar,livdy Type coRttecnve r.+niNT'unNce Slatus c� <br /> SlaWs t2�'Sr7_o0e llmc t:��a:i Ori�inal WO ��u;ot-'.'� E4illing <br /> Customcr In(ormation <br /> Cus��mer Name Cust�nner ld <br /> Ad�:ress Strce! <br /> ApanmeN No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No l ) • Ext <br /> Secand Phane 1 1 • Ext <br /> E-Mail Address <br /> Problem Infonnation <br /> Address 3027 Street TULALIP AVE <br /> From Cross Slreet <br /> To Cross Streel <br /> City ��E� <br /> Subdivisian Map Book �9ap Referencc <br /> Problem <br /> Sub Problem <br /> Requesled By Date Requested <br /> Agency Relaled Request <br /> Initialed From <br /> Utility Locate (USA) No C�Iled Date Expiration Dale <br /> Assignment Information <br /> Depl Priority Es!imated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned L3y <br /> Assigned Date To 8c Camp D;ite <br /> Scheduled Dale Scheduled Time <br /> Roule Roule Sequcnce <br /> Comments <br /> Action Taken INSTALIED NEW SETTER AND BOX <br /> Recommended Action <br /> Approved By csc CnvnNan.SiinNE r,. Job Cosl Infonnation(Y/N) <br /> Slart Date i � Time Date Completed �nazoos _ Permit No <br /> Complefed f3y Time Foliow Up? <br />