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Work Activity Work Order P�=` 1 <br /> ��z�,zo�� ,:oo <br /> ISSU2d BY SJT2 SPOONER,JAMES T. <br /> Issued Department Pw pUBLIC WORKS <br /> Date Issued �inzo�s <br /> Fund ao� Accouni s Program »o Function >>g Activity 66a <br /> Program <br /> Tille SO.75 INCH 9811 24TH DR SE 71071966a <br /> WOfk OfdBf NO 20151584 Pf0)BC! Activiry Type CORRECTIVE MAINTENANCE StBfUS PR <br /> Status �n'zois Time oa �z Original'NO Biliing <br /> Customer Information <br /> Custor�er Name KIRSHNER HOLDINGS LLC Customer ld <br /> Address 4111 Street �z�ir+sisE <br /> Apartment No City EVERETT <br /> State wa Zip 98208 <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 - E;.t <br /> Second Phone ( ) - ' Ext <br /> E-Mail Addrzss <br /> Problem Information <br /> Address gg�� Street Z4TN DR SE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated rrom <br /> Utility Locate (USA) IJo Called Date Expiration Date <br /> Assignment Information <br /> Dept Prioriry Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date __ <br /> Scheduled Oate Scheduled Time <br /> Route Route Sequence <br /> Comme�its <br /> Action Taken INSTALLED NEW.75 INCH WATER SERVICE USING.75 INCH 200 PSI POLY TO.751NCH <br /> SETTER WITH h1ETER AND BOX. � <br /> Recommended Action I <br /> Approved By Job Cost Information(Y/N) <br /> Scart Date � i Time Date Completed 7 i 2� i �5 Permit No <br /> Completed By wpL Time Follow Up? � � <br />