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�� �� ��lt �� � c� f��l,� <br /> Work Activity Work Order `3=` 1 <br /> 5!:3i20'sv 74:25 <br /> Issued By SRA SORGEN,ROBERT A. <br /> Issued Department Pw Pueuc woRtcs <br /> Datelssued sneno�a <br /> Fund �zo Account 5 Program sao Function tos Activity s�� <br /> Program <br /> Title SIDEWALK FEPLACEMENT 1807 COLBY AVE <br /> Work Order No 20141203 Project Activity Type CORRECTIVE IJIAINTENANCE Status c� <br /> Status 5/23/2014 Time �a2o Original WO Billing _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No Ciry <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 - Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> -- - — ___ _ _ _ <br /> Problem Infortnation <br /> Addfe55 Street <br /> From Cross Stre� <br /> To Cross Street <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 Frorn <br /> Utility Locale (USA) No Called Date Expiration Dale <br /> Assignment inFormation <br /> Dept Priority Estiinated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Coinp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken BILL TO;GINA LORING <br /> 1807 COLBY AVE <br /> EVERETT,WA 98201 <br /> Recommended Action <br /> Anproved E3y va� VANPUTTFN,l�ARON L JOb COS�IO�OffT1B60f1(Y/N) <br /> Start Date � i Tlme Date Completed 5N9f2014 Permit No <br />