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Work Activity Work Order <br />Page 1 <br />10/3/2012 1_:20 <br />Issued By HMP HALE, MICHAEL P. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 9/18/2012 <br />Fund 120 Accounts Program s4o Function toe Activity s11 <br />Program <br />Title SIDEWALK REPLACEMENT 3416 FEDERAL AVE <br />Work Order No 20122278 Project Activity Type CORRECTIVE MAINTENANCE Status CL <br />Status 10/3/2012 Time 13.17 Original WO Billing <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No <br />Second Phone ( 1 <br />E-Mail Address <br />Problem Information <br />Address 3416 <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 Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date <br />Scheduled Date <br />Route <br />Comments <br />Customer Id <br />Street <br />City <br />Zip <br />Change Map Y/N <br />Ext <br />Ext <br />Street FEDERAL AVE <br />Action Taken BILL TO: KURT DANIELSON <br />3416 FEDERAL AVE <br />EVERETT, WA 98201 <br />Recommended Action <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />M <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />Approved By BwK BIELSER, WILLIAM K. Job Cost Information(Y/N) <br />Start Date r Time Date Completed 10r2r2012 Permit No <br />