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\ � <br /> � <br /> , r; <br /> i. ;... , <br /> Work Activity VUork Order � - <br /> ISSUBd BY WMF W'cLLMAN,MARK F. <br /> Issued Department Pw PUBLIC WORKS <br /> Dale Issued snti2oos <br /> Fund 40� Account s Program yto Function ��g Activity ssa <br /> Program <br /> Ti�le SO 61NCH 1130 SC EVFRETT MALL N/AY 7�0119664 <br /> Work Order No 20050598 PfOJ2Cf Activity Type CORRECTIVE MAINTENhNCE $l"diUS CL <br /> Date sizv2oos Timeoa:zs Original WO iiss� Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address 1130 SIfQE( SE EVERETT�dAL 1 Y:; <br /> Apartment No Ci!y <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 • Ext <br /> Second Phone ( 1 - Exl <br /> E-Mail Address <br /> Problem I�iformation <br /> Address SUeet <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map ReFerence <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initialed From <br /> Utility Locate jU�Aj No Called Dale Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Cr�w <br /> ConUaclor <br /> I, Assigned To <br /> �i A:;signed By <br /> Assigned Date Tu Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken INSTALLED�CDA IN I CONTRACTOR INSTAI.LED VAUL'f <br /> � <br /> Completed By css Cnv�NaH,ShnnlE G. Job Cost Information(Y/N) <br /> Start Date i i Time Date Completed oi22�2o05 Time <br /> Approved By Follow Up? Permit No <br /> Problem Details z/G <br /> C f� <br />