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Work Activity Work Order <br />-���� <br />; �' �' _�� <br />3 <br />Page 1 <br />9/13/2016 10:40 <br />ISSU2(i By SFtA SORGEN, ROBERT A. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 5/3/2016 <br />Fund �2o Account 5 Program gao Function �os Activity 611 <br />Program <br />Title SIDEWALK REPLACEMENT - 2305 PINE ST <br />Work Order No 20162166 Project Activity Type CORRECTIVE MAINTENANCE StatUS CL <br />Status 9/13/2016 Time os:as Oriqinal WO Billinq <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 Called Date <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Map Book <br />Assigned Date To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken BILL TO: DAVID & DORRINDA CARLSON <br />895 RIVERSIDE DR APT C-239 <br />WENATCHEE, WA 98801 <br />Recommended Action <br />Approved By GCE GILLIS, CHADWIK E. <br />Start Date i � Time <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 />Job Cost Information(Y/N) <br />Date Completed 5/3l2016 Permit No <br />