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. � <br /> r � ,-_ <br /> Work Activity Work Or�der ✓a� ' <br /> , , ,, �;,�zoo� _,.�� <br /> ISsuCd By WMF WELLMAN,MARK F. <br /> Issued Department Pw pUBLIC WORKS <br /> Date Issued snvzoo5 <br /> Fund ao� Account s Program ��o Funclion �ts Activity 66a <br /> Program <br /> Tille SO 61NCH 1130 SE EVERETT MALL WAY 710119664 <br /> WO�k Ofdef NO 20050599 P�OJBCt ACIIVIIy TypB CORRECTNE MAINTENANCE SIeIUS CL <br /> Date sr2zizoo5 Timeoa:ae Original WO 11658 Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address 1130 SffOCI SE EVERETT MALL WAY <br /> Apartment No City <br /> State Z�p <br /> Subdivision Change Map Y/N <br /> Phone No ( > • Ext <br /> Second Phone ( 1 - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address SUeel <br /> t=rom Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub i oblem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utilily Locate (USA) No Called Dale Expiration Dale <br /> _ 4ssignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Conlractor <br /> Assigned To <br /> � Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Acticn Taken PROREAD-2l R=0 <br /> Completed By GTJ GALLAGHER,THOMAS J. JOb COSf If1f0�fT18110f1(Y/N) <br /> Start Date i I Time Date Completed 718,Y005 Time <br /> Approved By Follow Up? Permit Nu <br /> Problem Details 2/7 <br />