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Q�Lt �OB <br />Work Activity Work Order °3:- : <br />, �,_� <br />ISSUed By CSG CAVANAH, SHANE G. <br />Issued DepartmentPw PUBLIC WORKS <br />Date Issued zm2ots <br />Fund aot Account s Program »o Function �te Activity s75 <br />Program <br />TIll2 REPAIR 75 1NCH 2901 BELMGIJTE LANE 71011967.` <br />Wark Order No 20130324 PfOfOCI Activity Type CORRECTNF. 61AINTENAN�E $iB�US CL <br />Status 2mzo�a Time 1526 OriginalWO Billing <br />Customer Iniormatfon <br />Customer Narne Customer ld <br />Address Street <br />Apartn�ent No City <br />State Zip <br />Subdivision Change Map Y/N <br />Phone No � 1- Ext <br />Second Phone � � • Ext <br />E-Mail Address <br />Problem Information <br />Address 2801 Street BELMONTE LN <br />From Cress Street <br />To Cross Street <br />City Zip 9e2ot <br />Subdivision Map Book Map Reference <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />U[iliry Locale (USA1 No Called Date Expiretion Date <br />A ' nment Informatfon <br />Date Requested <br />Related Request <br />ssig <br />Prioriry Estimated Hours <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assiyned By <br />Assiyned Date To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken BILL JOB. BIL.L TO RODE7T PERASSO, 4405. 10]RD AVENUE SE, LAKE STEVENS, WA, <br />98258. REPLACED SETTER AND BOX. TRACING WIRE IS IN BOX. <br />Recommended �ction <br />Approved By SDG �MITH, DAVID G <br />Start Date � � Time <br />ComFleted By <br />Job Cost Information�Y�N) <br />Date Completed zieizo�a Permit No <br />Tirre Follow Up? <br />