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Work Activity Work Order <br />ISSU@d By SRA SORGEN, ROBERT A. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued s�2oi2o�s <br />Fund �2o Account 5 Program $4o Function �os <br />Program <br />Title SIDEWALK REPLACEMENT - 2117 MAPLE ST <br />Work Order No 20162173 Project <br />Status 9/13/2016 Time �o:oo Oriqinal WO <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( ) - <br />Second Phone ( ) - <br />E-Mail Address <br />Problem fnformation <br />Address <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date <br />Scheduled Date <br />Route <br />Comments <br />Action Taken BILL TO: MIKE LEBIHAN <br />2117 MAPLE ST <br />EVERETT, WA 98201 <br />Recommended Action <br />Approved By EGS EATON, GREG S. <br />Start Date i � <br />Street <br />C ity <br />Zip <br />Ext <br />Ext <br />Street <br />.p . � . � . �. . ,: . <br />����� ��, <br />��_�� <br />Page 1 <br />9/13/2016 10:55 <br />Activity s�� <br />Activity Type CORRECTIVE MAINTENANCE <br />Billinq <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority <br />Estimated Hours <br />Status c� <br />Job Cost Information(Y/N) <br />Date Completed s�22�2oas Permit No <br />