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Work Activity Work Order pa9e 1 <br /> 4/27/2012 31:31 <br /> ISSUBd By SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued a�v2a�z <br /> Fund aot Account s Program �+o Function �i9 Activity 873 <br /> Program <br /> TIIIE REPAIR 12 INCH 804 WAVFRLY AVE i 10719673 <br /> Work Order No 20120525 Project Activity Type SERVICE RE�UEST Status c� <br /> Status anno�z Time or.io Origi�al WO _ Biliing_ _ ___ ___ __ _ __ _ _ <br /> Customer Information <br /> Customer Name ePo Cusromer ld <br /> Address 804 S1f8B1 WAVERLY AVE <br /> Apartment No City EVERETT <br /> State wn Zip <br /> Subdivision Change Map Y/N <br /> Phone No ! 1 - Ext _ <br /> Second Phone ( ) - Ext <br /> E-Mail Address _ _ _. . - <br /> Problem Information � - <br /> Address 804 Street yyAVERLYAVE <br /> From Cross Street <br /> To Cross Street <br /> City EVERETT Z�P <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem LEAK LEAK <br /> Requested By BTM1 BERGER,TIM M DBte R0qU05f2d 47112012 <br /> Agency Related Request ootonza <br /> Initiated From OCD OTHER CITY DEPARTMENTS <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept PW PUBLIC WORKS Priority � Estimated Hours <br /> Crew <br /> Contractor <br /> ASS1911E'd TO SJT2 SPOONER.JAMES T. <br /> Assigned By <br /> Assigned Date _, __.__ To Be Comp Dale <br /> Scheduled Date Scheduled Time _ <br /> Roule Route Sequence <br /> Comments <br /> Action Taken WEDGE BREAK ON 12INCN C.I.MAIN.CUT OUT 7 FEET OF OLD MAIN AND PUT IN 7 FEET <br /> D.I.PIPE WI 2 ROMAC COUPLINGS. <br /> Recommended Action <br /> AppfOVBd By BGM2 BEUKERS,GEORGE M. JOb COSf IflfOfrt18ti0f1(Y/N) <br /> -- - <br /> St�rt Date i � Time Date Completed 4�v2otz _ .__.__ Permit No_ _ <br /> Completed By Time Follow Up? <br />