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Work Activity Work Order <br />' , ,� � ., � <br />.; `' � �.. ,� ,�''� '�' j, <br />Page i <br />g/13/2016 10:44 <br />ISSU2d By SRA SORGEN, ROBERT A. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 5/17/2016 <br />Fund �2o Account 5 Program s4o Function �os Activity s�� <br />Program <br />Title SIDEWALK REPLACEMENT - 1826 WETMORE AVE <br />Work Order No 20162168 Project Activity Type CORRECTIVE MAINTENANCE StBtUS CL <br />Status 9/13/2016 Time os:5� Oriqinal WO Billinq <br />Customer Information <br />Customer Name Customer ld <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 Zip <br />Subdivision Map Book <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Change Map Y/N <br />Map Reference <br />Utility Locate (USA) No Called Date Expiration Date <br />Assignment Information <br />Dept Priority <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 : CHRISTINE WFiITE <br />1826 WETMORE AVE <br />EVERETT, WA 98201 <br />(PLEASE BILL IN 3 MONTNLY INSTALLMENTS -$61.56, $61.56 AND $61.57) <br />IZecommended Actaor� <br />Date Requested <br />Related Request <br />Estimated Hours <br />