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Work Activity Work Order <br />���� �Of3 <br />Page 1 <br />9/=aizoie e:za <br />ISSU2d BY CSG CAVANAH, SHANE G. <br />Issued Department aw PUBLIC WORKS <br />Date Issued anz�zata <br />Fund aot Account s Prcyr:+m 7io Function �te Activity 675 <br />Program <br />TIllO REPAIR 75 INCH 2912 BELMONTE LN 710119075 <br />Work Order No 20130641 PfOJ2Cl ACtivity Type CORRFCTIVE 1dAINTENANCE <br />Status sri2izo» Time is2s Original WO Billing <br />Customer Informatfon <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Pho�ie No � � <br />Second Phone � � <br />E-Mail Address <br />Problem Informatlon <br />Address <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Prablem <br />Sub Problem <br />Requested By <br />Agency <br />Iniliated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date <br />Scheduled Date <br />Route <br />Comments <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Streel <br />Map Book <br />Called Date <br />To Be Comp Dale <br />Scheduled Time <br />Route Sequence <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 />Action Taken REPLACED SETTER. BILL JOB. BILL TO ROBERT PERASSO. <br />4405 70JRD AVENUE SE. <br />LAKE STEVENS. WA 98258 PHONc�425) �34-68J4 <br />Recommended Action <br />Status c� <br />Approved f3y oo� ��nszr onvio � Job Cost Information(Y/N) <br />:Stait Date � � Time Uate Completed ansnou Permit No <br />