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1 Y <br /> � <br /> , �o MpT�RIAL <br /> � <br /> WQrk Activity Work Order Page � <br /> — — 9/15/2005 10:23 <br /> ISSl18d BY WMW WARD,MICHAEL W. . - � --...---�---�-�-- � <br /> Issued Department <br /> Date Issued 3lte�zoos <br /> Fund aot Account Type s Program��o Function t�s Activity s�s <br /> Job Cost No - _ <br /> TIllB KILL 11821 19TH AVE SE 710119675 � <br /> Work Order No ZOOSOZJ'� afOJg�( Activity Type CORRECTIVE MAINTENANCE S�81115 CL <br /> Date ane�2oos Time: Original WO Date __ Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( ) - Ext — ----------- -- - <br /> E-Mail Address <br /> Problem Information -- �--- <br /> Address ��gy� Street �9THAVESE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Prcblem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Informatlon <br /> Dep! Priority Estirnated Hours <br /> Crew <br /> Contractor <br /> Assigned To I <br /> Assigned By ' <br /> Assigned Date _ To Be Comp Date <br /> Scheduled Date ___ Scheduled Time � <br /> Route Route Sequence � <br /> Comments UNMARKED,DORMANT 8 HIT BY PILCHUCK. <br /> Action Taken KILLED&CAPPED AT MAIN. <br /> Completed By wo� __ Job Cost Information(Y!N) <br /> Start Date I � _ Time ___ Date Compieted3nsnoos Time <br /> Approved By Follow Up? __ Permit DN�j. <br /> Problem Details l�i%�.D � <br /> MAY 16 2005 <br />