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Work Activity Work Order 'a°° ' <br /> io/le/zoii e:s6 <br /> ISSUed By SRA SORGEN,ROBERT A. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued �m�sno�� <br /> Fund �2o Account s Program eao Function �oe Activity e�t <br /> Program <br /> TIiIQ SIDEWALK REPLACEMENT 1320 HOYT 840108611 <br /> WOfk�fCl?f r10 20112413 f fOfOC� Activity Type CORRECTNE MAINTENANCE $181U5 CL <br /> Status �onenoii Time oe tz Original W0 Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Chanae Map Y/N <br /> Phone No � 1 • Ext <br /> Second Phone � ) • Ext <br /> E-Mail Address <br /> Problem In(ormation <br /> Address 1320 Slreet HOYT AVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Prablem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Da!e 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 Dale <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments BILL TO: JEFFFEY 8 STA�1'RIFE <br /> 1320 HOY i AVE <br /> EVERETT,WA 98207 <br /> Aclion Taken <br />