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3 <br /> . ,t. <br /> Work Activity Work Order � � � <br /> ISSUed BY WMW WqRD,MICHAEL W. <br /> Issued Deparimenl Pw PUBLIC WORKS <br /> Dale Issued tonzizoo� <br /> Fund aot Accounl s Program »o Funclion >>y Activity 675 <br /> Program <br /> TIIIC REPAIR 1605 SIWER IAKE RD 710119675 <br /> Work Order Na 20070959 Project Aclivity Type 5[RVICE ItEOU[ST Status c� <br /> Dale imzzi2oo� Time io za Original WO Billing <br /> Customer Information <br /> Cuslamer Name BAYLOR,ADDISON Customer ld <br /> AddfC55 1605 S�fCCI SIWER LAKE RD <br /> Aparlmenl No Ciry <br /> Stdle Zip sezoe <br /> Subdivision Change Map Y/N <br /> Phone No l azs 1 az�aos� Ext <br /> Second Phone 1 1 - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 1605 Streel SILVER LAKE RD <br /> From Cross Streel <br /> To Cross Street <br /> City Zip 98208 <br /> Subdivision Map �ook Map Reterence <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By HSR HOFt n�nN,sreveN it Date Requested �onsizom <br /> Agency Relaled Request 000eazse <br /> Initiated From PUBLIC PUOLIC <br /> Ulility Locate (USA)No Called Date Expiration Dale <br /> Assignment Intormation <br /> Dept Priority Estimated Hours <br /> Crew <br /> Conlraclor <br /> AS51(�f1Cd TO WTE N'E-SNANG,TERRY E. <br /> Assigned By <br /> Assigned Date �onsn�o� To Be Comp Date <br /> Scheduled Dale Scheduled Time <br /> Roule Route Sequence <br /> Comments BILL TO:P.UDISON�`. VLOR <br /> 1G05 SIWER',\KE OR <br /> EVERETT,WA 98208 <br /> Action Taken REPLACED INAPPROPRIATE PLUMBING PARTS INSTALLED OY OTHERS AND RAISEU METER TO <br /> PROPER GRADE LEAVING CUS70MERS HOSE 8188 OUTSIDE OF OUR BOX. <br /> BILL TO: ADDISON BAYLOR <br /> 1605 SILVER LAKE RD. <br /> [VERETT,WA. 98208 <br />