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. � <br /> Work Activity Work Order ��°"' ' <br /> - _ �� , ,_. <br /> ISSUCd By WMW WARD,MICHAEL W. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued eivzooa <br /> Fund 4ot Account 5 Program »o Funclion >>g 4clivity ssa <br /> Program <br /> TItIB 50 21NCH 171 SE EVERETT MALL W�Y BLDG D 710119664 ' <br /> WOfk OfdOf NO 2008�62� PfOJ@Cf Activity Type COP.RECTIVE MAINTENANCE SletUS CL <br /> Date 8�112008 TIf11B 13:32 Of1911181 WO 12789 Blllifl9 <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phane No l ) • Ext <br /> Second Phone f ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> P.ddress ��� Slreet SEEVERETTMALL WAY <br /> From Cross Slreel <br /> To Cross Slreet <br /> City Zi{> <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Relaled Request <br /> Initiated From <br /> Utiliry Locate (USA) No Called Date Expiretion Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> C rew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduted Time <br /> Roule Route Sequence <br /> Comments <br /> Action Taken SA�dE LOCATION AS 314"WAS.3l4"KILLE�. <br /> Completed By KTJ KELSO,THOMAS J. Approved By <br /> Start Date � � Time Date Completed en2nooe Time <br /> Job Cost Information(Y/N) Follow Up? Permit No <br /> Problem Details <br /> ! [� <br />