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NO MATERIALS <br /> Work Activity Work Order Pa9e 1 <br /> 3/9/2012 14:30 <br /> ISSUBd By � WMW WARD,MICHAEL W. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 912312011 <br /> Fund ao� Account 5 Program »o Function t�s Activity s�3 <br /> Program <br /> TItl2 TAP 8 INCH 6101 23RD DR W 710119673 <br /> Work Order No 20112329 PfOJ2C� Activity Type CORFECTIVE MAINTENANCE Sfa�US CL <br /> Status srzsizoii Time ie:ai Original WO _ Billing_ _ <br /> Customer Information <br /> Customer Name NORPRO Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) • Ext <br /> Second Phone ( 1 - Ext --- <br /> E-Mail Address <br /> _— - -- - -- <br /> Problem Information <br /> Address g�p� Street y3RD DR W <br /> From Cross Street <br /> To Cross Street <br /> . <br /> City ZiP <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Reiated Request <br /> Initiated From <br /> Utiliry Locate (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 Be Comp Date _ _ <br /> Scheduled DatO _ _ __ Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONTRACTOR EXCAVATED,SHORED AND SUPPLIED PARTS. <br /> Recommended Action si�L 70: NORPao <br /> 2275 MERRILL CREEK PKWY <br /> EVERETT,WA 98203 <br /> Approved By BGM2 BEUKERS,GEORGE M. JOb COS�IflfOff118�1Of1(YIN� <br /> -------.._—_ -- <br /> StaR Date I � Time Date Compieted 9iz��2o�� Permit No <br />