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Work Activity Work Order <br />Page 1 <br />V15/2005 6:42 <br />Issued By WMW WARD, MICHAEL W. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 8/15/2005 <br />Fund 401 Accounts Program 710 Function 119 Activity 675 <br />Program <br />Title REPAIR 9820 27TH AVE SE 710119675 <br />Work Order No 20050782 Project Activity Type CORRECTIVE MAINTENANCE Status PR <br />Date 8/15/2005 Time06:37 Original WO Billinq <br />Customer Information <br />Customer Name <br />Customer Id <br />Address <br />Street <br />Apartment No <br />City <br />State <br />Zip <br />Subdivision <br />Change Map Y/N <br />Phone No ( ) - <br />Ext <br />Second Phone ( ) - <br />Ext <br />E-Mail Address <br />Problem Information <br />Address 9820 <br />Street 27TH AVE SE <br />From Cross Street <br />To Cross Street <br />City <br />Zip <br />Subdivision <br />Map Book Map Reference <br />Problem <br />Sub Problem <br />Requested By Date Requested <br />Agency Related Request <br />Initiated From <br />Utility 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 Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken $429.50 DEPOSIT BY ROBERT NEHRING , 3216 WETMORE, EVERETT,WA 98201;ON CREDIT <br />CARD. TREASURERS RECEIPT #185849 <br />Completed By �lryyfJob Cost Information(Y/N) <br />Start Date / / Time Date Completed <br />Approved By Follow Up? Permit o <br />RECORDS <br />SEP 2 9 2005 <br />Time <br />