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Work Activity Work Order Page 1 <br /> 9/11/2Q12 15:23 <br /> ISSUOd By HMP HALE,MICHAEL P. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued anlzot2 <br /> Fund 12o Account s Program eao Function 1os Activity stt <br /> Program <br /> Tifle SIDEWALK REPIACEMENT 1832 LOMSARC AVE <br /> WOfk OfdBf NO 20�22��4 Project Activity Type CURRECTIVE MAINTENANCE Ste�US CL <br /> Status snv2oiz Time ie t2 Original WO Billing <br /> Customer Information Customer ld <br /> Customer Name <br /> Addre:s Street <br /> Apartment No City <br /> S!ate Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( ) - Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 1832 Street LOMBARD AVE <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 /> Initiated From <br /> Utility Locate (USA) No Cailed Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> C rew <br /> Contractor <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 /> Action Taken BILL T0: ED SEBBAS <br /> 1832 LOMBARD AVE <br /> EYERETT,WA 98207 <br /> Recommended Action <br /> Approved By soe BREKHUS_DENNIS B. JOb COSt I�fOfrt18tI0f1(Y/N) <br /> Start Date � � Time Date Completed si�2o�2 Permit No <br />