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Work Activity Work Order <br />-j .L ■�n w <br />N f � �.9■.. .� � �'?; <br />Page 1 <br />9/13/2016 10:36 <br />Issued By SRA SORGEN, ROBERT A. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 4l26/2016 <br />Fund �2o Account 5 Program $ao Function �os Activity 611 <br />Program <br />Title SIDEWALK REPLACEMENT - 2601 MAPLE <br />Work Order No 20162164 PfOjOCt Activity Type CORRECTIVE MAINTENANCE StetUS CL <br />Status 9/13/2016 Time os:4a OriQinal WO Billina <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 <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: WILLIAM DEARMI� <br />5422 81SY ST NE <br />MARYSVILLE, WA 98270 <br />2ND ADDRESS: <br />13339 E 49TH ST <br />YUfdIA, AZ 85367 <br />(928)276-9304 <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 Estimated Hours <br />