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Work Activity Work Order p°9e 1 <br /> 7/26/2012 11:21 <br /> ISSU@d By HMP NALE,MICHAEL P. <br /> Issued Department Pw PUBLIC WORNB <br /> Date Issued �roiso�� <br /> Fund up Account a Program eto Function toe Activity et� <br /> Program <br /> Titl@ SIDEWALK REPLACEMENT 1813 BAKER AVE <br /> Work Order No 20121898 ProJect AcBvity Type CORRECTIVE MAINTENANCE Status c� <br /> Status �neno�2 Time ii:�e Original WO Billing <br /> Cu�tom�r Inform�tlon <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zfp <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 • Ext <br /> Second Phone ( ) • Ext <br /> E-Mail Addresa <br /> Probbm Infortnatlon <br /> Address fA13 �tC@@S BAKERAVE <br /> From Cruss Street <br /> To Cross Street <br /> City Z�P <br /> Subdivfslan Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utiliry Locate(USA) No Called Date Expiration Date <br /> Assignment Intormatlon <br /> Dept Prfority EsUmated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned 8y <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Tfine <br /> Route Route Sequence <br /> Commenb <br /> Action T�k�n ei��ro:oeru�o o��uruN <br /> 161J BAKER AVE <br /> EVERETT,WA Yl201 <br /> Recommendod Actlon <br /> Approved By eDe BREKHUS,DENNIS B. JOb COS�I�fOfI118d011(Y/N) <br /> Start Date i i Time Date Completed �izy2p�= Permit No <br />