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Issued By ca� <br />Issued Department pw <br />Dale Issued snanoos <br />Fund ao� <br />Program <br />Work Activity Work Order <br />CRUId, GERRY <br />PUBLIC WOP.KS <br />,:,_.:,: _ <br />Accounl s Program »o Funr,tion �ts Activity sea <br />Title SO 61NCH',402 SE EVERETT MALL WAY 710119664 <br />Work Order No 20050890 PfOJ@Ci Activiry Type CORRECTIVE fe1AINTENANCE Sl8fU5 CL <br />Date snni2oos Timeo&:ea Original W0 inas Billing <br />Customer Information <br />Customer Name <br />Address <br />Apari;nent No <br />State <br />Sub�ivision <br />Phone No ( ) <br />Second Phone ( ) <br />E-Mail Address <br />Problem Information <br />Address 1402 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Prablem <br />Sub Problem <br />Requested By <br />Agency <br />Initialed 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 />Roule <br />Comments <br />�rtlon Tr�.kr,n <br />Cuslomer ld <br />StrEet <br />City <br />Zip <br />Ext <br />Ext <br />Stre�et SE EVERETT MALL WAY <br />Map Book <br />Called Date <br />Change Map Y/�� <br />Zip <br />Map Reference <br />Date Requested <br />Relaled Request <br />Expiration Date <br />Priority Estimated Hours <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />� <br />,� �,�� <br />�,� <br />� <br />