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Work Activity Work Order Pe9e 1 <br /> 11/9/2010 11:51 <br /> —_ . _. . _. __--- ------� ---_.— �- <br /> ISSIl2d By NMP HALE,MICHAEL P. <br /> Issued Department rw PUBL�C WORKS <br /> Date Issued ��reno�o <br /> Fund tso Account s Program �qo Function toe Activity ett <br /> Progrem <br /> TillB SIDEWALK REPLACEMENT 1602 CHESTNUT ST&10t08811 <br /> Work Order No 20102655 Project Activity Type CORRECTIVE MAINTENANCE Status CL <br /> Status �vsizoio Time ir33 Original WO s2a�s _ _ _ Billing__ _____________. <br /> Customer In(ormation <br /> Customer Name Customer ld <br /> Adtlress Street <br /> Apartment No Ciry <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone � ) • Ext — — <br /> E-MailAddress _________ __ _____— <br /> Problem In(ormatlon <br /> Address �6py Street CNESTNUT ST <br /> From Cross Street <br /> To Cross Slreet <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Asaignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To De Comp Date <br /> Scheduled Date Scheduled Time _____ <br /> Route Route Sequence <br /> Comments BILL TO: CATMY JACKSON <br /> 1802 CHESTNUT ST <br /> EVERETT,WA 9BY01 <br /> Action 1'aken _ - - -- - - _ ---- -- - <br />