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Work Activity Work Order <br />Fage 1 <br />'2/9;LGny 13:26 <br />ISSUBd By WDL WEAVER, DEAN L. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 101512009 <br />Fund ao� Account s Program ��o Func!'.on »9 Activity 675 <br />Program <br />TIfIB REPAIR 7 INCH 9324 EVERGREEN WAY 710119675 <br />WOfk OfdOf NO ZOO9ZBB2 PfOJBCI Activity Type CORRECTIVE MAINTENANCE Sf8iU5 CL <br />Status �orizooe Time �s:ze Original WO Billing <br />Customer Inforrnation <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( � <br />Second Phone ( ) <br />E-Maii Address <br />Problem Information <br />Address 9324 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Informetion <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street EVERGREEN WAY <br />Map Book <br />Called Date <br />Assigned Date To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments BILL CONTRACTOR: T.E. BRIG�S CONSTRUCTION <br />P.O. BOX 565 <br />E��dONOS, WA 98020 <br />Action Talcen REPAIREU BROKEN 1" SERVICE. <br />Recommended Action <br />Customer ld <br />Change Map YIN <br />Zip <br />Map Reference <br />Date kequested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />Approved By SDG SMITH, DA'JID G. JOb �:OSI If1fOfI118f10�(YIN) <br />Start Date i i Time Date Compfeted �oiv2oos Permit No <br />