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Work Activity Work Order <br />Page 1 <br />10/29/2013 15:40 <br />Issued BY SRA SORGEN, ROBERT A. <br />Issued Department PW PUBLIC WORKS <br />Date Issued 1012912013 <br />Fund 120 Accounts Program 840 Function 1o6 Activity 611 <br />Program <br />Title SIDEWALK REPLACEMENT 3503 HOYT AVE <br />Work Order No 20133513 Project Activity Type CORRECTIVE MAINTENANCE Status CL <br />Status 10129/2013 Time 15:29 Original WO Biiiing <br />Customer Information <br />Customer Name <br />Address <br />Street <br />Apartment No <br />City <br />State <br />Zip <br />Subdivision <br />Phone No ( ) <br />Ext <br />Second Phone ( ) <br />Ext <br />E-Mail Address <br />Problem Information <br />Address 3503 <br />Street HOYT AVE <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Map Book <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Called Date <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date _ _ _ <br />To Be Comp Date _ <br />Scheduled Date — — <br />Scheduled Time <br />Route <br />Route Sequence <br />Comments <br />Action Taken BILL TO LAINA BROWN <br />3501 HOYT AVE <br />EVERETT, WA 98201 <br />Recommended Action <br />Customer Id <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />Approved By EGS EATON, GREG S. Job Cost Information(YIN) <br />Start Date 1 1 Time Date Completed 8/1912013 Permit No <br />