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Work Activity Work Or��er Pdge 1 <br /> 12�21,2�1� 15:25 <br /> ISSU2d By SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued toi2vsota <br /> Fund ao� Account s Program ��a Function ��y Activity 675 <br /> Program <br /> TItIQ REPAIR.75 1NCH 611 WARREN AVE 710119675 <br /> Work Order No 20102593 Project Activity Type SERVICE REQUEST Status c� <br /> Status to�zvzoio lime �a:sz _Original WO __ __ Billing_ _____ _ <br /> Customer Information <br /> Customer Name CALDWELI,PAT Customer ld <br /> Address Street <br /> Apartment No ���Y <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( 425 ) 259A159 EXf <br /> Second Phone f ) • Ext --- -- - <br /> E-MailAddress ______ ____ <br /> Prcblem Iniormation <br /> Address gi� Street yyqRRENAVE <br /> From Cross Street <br /> To Cross Street <br /> City ZiP <br /> Subdivision Map Book Niap Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By fiSR HOFFMAN,STEVEN R. DBtC REqUES�Cd 101T112010 <br /> /',gency Related Request 0009s��a <br /> initiated From PUBLIC Pueuc <br /> Utility Locate(USA) No Called Date Expiretion Date <br /> Assignment Information <br /> pPp� pw PUBLIC WORKS Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To SJT2 SPOONER,JAMES T. <br /> Assigned Dy <br /> Assigned Date __ __ _ To Be Comp Date <br /> Scheduled Dale _ Scheduled Time <br /> Rau!e Route Sequence <br /> Comments <br /> i��ction Taken REPLACED.751NCH CURBSTOP WITH.751NCHSETTER,JUMPER AND BOX. <br /> Recommended Actfon <br /> Approved By SDD2 STALLINC�S,DONALD D. JOb COSt IflfOff113�IDf1(Y/N) <br /> Start Date i � Time Date Completed �mzv2o�o __ Permit No <br /> Completed By _ Time Follow Up? <br />