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t � :i �;���� <br />� <br />Work Activity Work Order <br />Page 1 <br />9/13/2011 14:55 <br />ISSUBd BY SJT2 SPOONER, JAMES T. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued ensizo�� <br />Fund aot Account s Program »o Function t�e Activity s�5 <br />Program <br />TIfl2 REPAIR .75 INCH 620 34TH S7 710119675 <br />WO'k Ofd2f NO 20111843 ProjeC� Ac;iviry Type CORRECTIVE MAINTENANCE S�etUS CL <br />Status ensno�� Time ta:5e Originai WO _ Billing___ _ <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( > - <br />Second Phone ( ) - <br />E-Mail Address <br />Problem Information <br />Address gyp <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street 34TH ST <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date _____. <br />Scheduled �ate _ <br />Route <br />Comments <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Zip <br />Change Map Y/N <br />Map Reference <br />Expiration Date <br />Dal:; Requested <br />Related Request <br />Priorily Estimafed Hours <br />Action Taken REPLACED .75 INCH CURBSTOP WINEW .751NCH SETTER, JUMPER AND BOX. MOVED SERVICE <br />TO SOUTH. CONTRACTOR PUT CLEAN•OUT ON TOP OF CURB BOX. <br />SEWER F SCHEDULE B. <br />R8COf111112fIdBCI ACtlOfl BILL JOB: KLB CONSTRUCTION <br />P.O. BOX 158 <br />MUKILTEO, WA 98275 <br />