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Work Activity Work Order <br />��� � <br />���� <br />Page � <br />9/13/2016 10:48 <br />ISSUed By SRA SORGEN, ROBERT A. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 5/18/2016 <br />Fund �2o Account s Program s4o Function �os Activity s�� <br />Program <br />TIt18 SIDEWALK REPLACEMENT - 1701 LOMBARD AVE <br />Work Order No 20162170 Project Activity Type CORRECTIVE MAINTENANCE StatUS CL <br />Status 9/13/2016 Time os:55 Oripinal WO Billinq <br />Customer Information <br />Customer Name <br />Address Street <br />Apartment No City <br />State Zip <br />Subdivision <br />Phone No ( ) - Ext <br />Second Phone ( ) - Ext <br />E-Mail Address <br />Problem Information <br />Address Street <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision Map Book <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No Called Date <br />Assignment Information <br />Dept <br />C rew <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 g��� TO: LAURA STALDER/MICHAEL SANDERSON <br />1701 LOMBARD AVE <br />EVERETT, WA 98201 <br />Recornr�ended Aefion <br />Approved By VAL VANPUTTEN, AARON L. <br />Start Date i � Time <br />Customer ld <br />Change Map . Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />Job Cost Information(Y/N) <br />Date Completed 5/18/2016 Permit No <br />