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Work Activity Work Order <br />ISSU2d By SRA SORGEN, ROBERT A. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 5/11/2016 <br />Fund �2o Account s Program s�o <br />Program <br />Title SIDEWALK REPLACEMENT - 1817 WETMORE AVE <br />Function �o$ <br />��f���� ��� <br />Page 1 <br />9/13/2016 10:91 <br />Activity s� � <br />Work Order No 20162167 Project Activity Type CORRECTIVE MAINTENANCE <br />Status 9/13/2016 Time o9:5o 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 fnformatiorr <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Map Book <br />Called Date <br />Assigned Date To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken B�LL TO: BRIAN GARDNER <br />5605 GREENWOOD AVE <br />SEATTLE, WA 98103 <br />f2ecoenmended Action <br />Approved By NMJ1 HOPKINS, MASON J. <br />Start Date � i Time <br />Customer ld <br />Zip <br />Change Map Y/N <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 5/11/2016 Permit No <br />