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Work Acti�:ity Work Order pa9e 1 <br /> a/i�/zoiz i4:ze <br /> Issued By RTA RIDGE,TRACY A. <br /> issued Department Pw PUBLIC WORKS <br /> Date Issued <n�izo�z <br /> Fund 1zo Account 5 Program eao Function toa Activity e�� <br /> Progr2m <br /> Title SIDEWALK REPIACEMENT 1823 LOMBARD AVE <br /> Work Order No 20120565 PfOJBC[ Activity Type CORRECTIVE MAINTENANCE Sl81US CL <br /> Status ann2oi2 Time ia:z5 Original WO_ _ __ Billing _ __ ___ ___ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�p <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 - Ext __ _________ <br /> Second Phone ( ) - Ext <br /> E-MailAddress ___— ___-- --- --- <br /> Problem Information <br /> Address 1823 Street LOMBARDAVE <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> . � Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date _ _ _ _ To Be Comp Date _____ <br /> Scheduied Date __ ___ _ Scheduled Time ___ __ <br /> Route Route Sequence <br /> Comments <br /> Action Taken BILL T0: LAINA BROWN <br /> 3501 HOYT AVE <br /> EVERETT,WA 98201 <br /> Recommended Action <br /> Approved By e�s eisNerr,�rtecc s. Job Cost Information(YIN) <br /> Start Date i i Time Date Completed antno�z Permit No <br />