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�- <br /> Work Activity Work Order � '"' ` <br /> t;:�,'�a1c , ..cc <br /> IS�UCd By SJT2 SPOONER,JAMES T. <br /> Issued Department rw PUBIIC WORKS <br /> Date Issued t2nsnoa5 <br /> Fund ao� Ar,count s Program >>o Function tt9 Activity 6�s <br /> Program <br /> Title REPLACE J51PiC11 iA27 t00TH ST SNJ 710119675 <br /> WO�k OfdCE NO 200931T4 PfO�CCI ACfIVIfY TyPC CORRECTIVE�1AINTENANCE Sf2�t15 CL . <br /> Status t2 +r,i2nu� Time oe ss Original WO Billiog I <br /> Customer Iniormation <br /> Customer Name SUSAN TENOLL Guslomer ld <br /> Address ta�� Slf@0f 100TH ST SW <br /> Apartment No LOT 117 CItY EVERETT <br /> SlatB WA Zip 98204 <br /> Subdivision Chanye hiap Y/N <br /> Phone No � 1 • Ext <br /> Second Phone � � • Ext --- <br /> E�Mail Address _ _ <br /> I'roblem Informatinn <br /> Address �qp7 Streel �OOTH ST SW <br /> From Cross StrPel <br /> To Cross Sireel <br /> Cily Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WAT�R <br /> Sub Pwblem Oi'HER OTHE? <br /> Requesled By Dale Requested <br /> Ayenry Related Request <br /> Initiated From <br /> Utility Locate(USl1)IJo Called Date Expiralion Date <br /> A,ssignment Inlormali�� <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigne� To <br /> Assigned By <br /> � Assigned Date To Be Comp Date __ <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments , <br /> Action Taken CURB STOP PARTIALLV BROKEN,PUT IN.751NCH S[BBER WITH JUMPER ANO BO)(.TURNED <br /> OFF AS REOUESTED BY CUSTOMER PER MEASUREMENTS ON CHART. ,I <br /> i2ecommanded Aclion I� <br /> Approved By soc shtrr+,onwo c Job Cost In(ormalion(Y/N) � <br /> Start Date i i Time Date Completed vts�xuio Permit No <br /> f:umple�ed By Time Fallow Up? <br /> �� <br />