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� �?� B���t�' <br /> � <br /> Work Activity Work Order �` `= <br /> �;�,i�o-��_ _ ._ <br /> Issued By WMF WELLMAN,MARK F. <br /> Issued Department Pw PUBLIC WCRKS <br /> Date Issued s�z2i2oos <br /> Fund qu� Account s Program ��o Function »y Activity esa <br /> Program <br /> Tlll@ SO 61NCH 1130 SE EVERETT!dALL WAY 710179664 <br /> WOtk Ofd�f NO 20050599 ProJB;:t AClivily TypB CORRECTIVE MAINTENANCE S18lllS pR <br /> Dale s�zv2ooa Timeos:ss Original WO i�ess Bi!ling <br /> Customer Information <br /> Customer Name Customer ld <br /> AddfBSS 113D StfBBt 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 Street <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem <br /> S�b Problem <br /> Requesled B; Date Req�;es:ed <br /> Agency Related R�.uest <br /> Iniliated From <br /> Utilily Loc��te (USA) No Called Date Expiration Date <br /> Assignme-it Information <br /> Depf � GG� Priority EstimatedHours <br /> Crew <br /> C��ntractor /�., ' <br /> A;s gned To � v�,`"�r'��— �i <br /> Ass.gned By � ��%Q 5 <br /> Assigned Date To Be Comp Dale <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> F�ction Taken <br /> ��7 <br />