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VUork Activity Work Order <br />�ILL ,ppg <br />Page + <br />9;14/2013 8:15 <br />ISSl18d By CSG CAVANAH, SHANE G. <br />Issued Department aw PUBL�C WORKS <br />Date Issued ziano�3 <br />Fund ao� Account s Program �to Function ito Activity s�e <br />Program <br />Tlfl@ REP.AIR 75 INCH 2807 BELMONTE LANE 710119675 <br />Work Order No 20130284 PfOfCCf Activity Type CORRECTIVE MAINTENANCE <br />Status ziano�3 Time isoa Original WO Billing <br />Customer InformaUon <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No � � <br />Second Phane � � <br />E-Mail Address <br />Problem Infotmation <br />Address 2807 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problern <br />Sub Problem <br />Reqi�ested By <br />Agency <br />Initiated From <br />Ulilit/ Locate (USA) No <br />Assignment IntormaUon <br />Dept <br />Crew <br />CanV�ctor <br />Assigned To <br />Assigned By <br />Assigned Date <br />�cheduled Date <br />Route <br />Comments <br />Street <br />City <br />z�� <br />Ext <br />Ext <br />Street BELMONTE LN <br />Map Book <br />Called Date <br />To 8e Comp Dale <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Change Map Y/N <br />Zip eezo� <br />Map Reference <br />Date Requested <br />Related Request <br />ExFiration Date <br />Priority Estimated Hours <br />Action Taken BILL JOB. BILL TO ROBERT NERASSO, 4405 10]RD AVENUE SE,LAKE STEVENS,WA,98258. <br />ATT, ROBERT PERAS50. RELOCATED SERVICE TO CITV PROPERTY PER MEASUREMENTS OFF OF <br />2801. <br />Recommended Action <br />St8W5 CL <br />Approved By so� saur�{. onvio c Job Cost Information(YIN) <br />Start Date � i Time Date Completed yei2ota Pennit No <br />