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Work Activity Work Order <br />ISSU2d By SRA SORGEN, ROBERT A. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 4/6/2016 <br />Fund �2o Account 5 Program $40 <br />Program <br />Titie SIDEWALK REPLACEMENT - 2323 RUCKER <br />Function �os <br />��C��.. .���_:� <br />Page 1 <br />9/13/2016 12:45 <br />Activity s� � <br />Work Order No 20162158 Project Activity Type CORRECTIVE MAINTENANCE <br />Status 9/13/2016 Time o9:ss Oriqinal WO Billing <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 />C ity <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 />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 BILL TO: ROB & KELLY HALLUM <br />2323 RUCKER AVE <br />EVERETT, WA 98201 <br />Recommended Action <br />Approved By GCE GILLIS, CHADWIK E. <br />Start Date i � Time <br />Map Book <br />Called Date <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 />Status c� <br />Job Cost Information(Y/N) <br />Date Completed 4/6/2016 Permit No <br />