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Work Activity Work Order <br />ISSUCd By HMP HALE, MICHAEL P. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued ens�so�s <br />Fund t2o Rccount s Program µo <br />Program <br />Title SIDEWALKREPLACEMENT3412FEDERALAVE <br />Function �oe <br />Page 1 <br />10/2/2012 8:06 <br />AcGvity att <br />work Order No 20122256 Project Activity Type CORRECTIVE MAINTENANCE Status c� <br />Status �onnoi2 Time or.5o Original WO Billirg <br />Customer Information <br />Customer Name <br />Address <br />ApartmentNo <br />State <br />Subdivision <br />Phone No ( <br />Second Phone ( <br />E-Pdail Address <br />Probiem Information <br />Address 3412 <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 Infortnation <br />Dept <br />Crew <br />Cc�tractor <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 />Street FEDERAL AVE <br />Map Book <br />Called Date <br />Action Taken BILL TO: KENNETH SMITH <br />3412 FEDERAL AVE <br />EVERETi, WA 98207 <br />Recommended Action <br />To Be Comp Date <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 />FacpiraUon Date <br />Priority <br />EsGmated Hours <br />Approved By swic BIELSER, �nuw�n K. Job Cost Information(Y/N) <br />Start Date i � Time Date Completed wz�riots Permk No <br />