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Work Activity Work Order <br />� �� <br />t.���� .���j� <br />Page 1 <br />9/13/2016 10:52 <br />ISSUBd By SRA SORGEN, ROBERT A. <br />ISSUed Department Pw PUBLIC WORKS <br />Date Issued 6/17/2016 <br />Fund �2o Account 5 Program $4o Function �os Activity s�� <br />Program <br />TItl2 SIDEWALK REPLACEMENT - 2403 LOMBARD AVE <br />Work Order No 20162172 PfOJ@Ct Activity Type CORRECTIVE MAINTENANCE StatUS CL <br />Status 9/13/2016 Time os:5s Original WO 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 Street <br />From Cross Street <br />To Cross Street <br />City Zip <br />Subdivision Map Book Map Reference <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No Called Date Expiration Date <br />Assignrr�ent Information <br />Date Requested <br />Related Request <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 BILL TO: GNEORGE CIOT <br />2403 LOMBARD AVE <br />EVERETT, WA 98201 <br />(PLEASE BILL $100.00 PER MONTN FOR 7 MONTHS AND ONE FINAL BILL OF $63.37) <br />6�ecommend�d Action <br />