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i�'�J.., ��t. ��t <br />V11ork Activity Work Order -��- ` <br />=�:;�:�:� <br />_ _ _ _ __ -------- ----- -- --- -- — <br />ISSUed B/ SRA SORGEN, ROBERT A. <br />Issued Department <br />Date Issued ai:�oizo�s <br />Fund �2o Accounts Program eso Function �Qe Achvity sit <br />?rogram <br />Title SiDEWALK REPLACEMEN7728 HOYT <br />Work Order No 201F1131 Project Activity Type coaHecTrve r:��mreNtirace St2tus c� <br />Status _ Snai2o�5 Time orz2 Clriginal WO Billinq <br />Customer Information <br />Customer Name Customer ld <br />Address Street <br />Apartment No City <br />State Zip <br />Subdivision Change �dap Y/N <br />Phone No ( ) • Ext <br />Secand Phone l 1- Ext —---- - <br />E-hlail Address <br />Problem Information <br />Addrzss Street <br />From Cross Street <br />To Cross Street <br />C�;Y Zip <br />Subdivision Map Book Map Re(erence <br />Probiem <br />Sub Problem <br />Requested By Date Requested <br />Agency Related Request <br />Initiated From <br />Utdiry Locate (USA) No Called Dale Expiration Date <br />Assignment In(ormation <br />Dept Pnority Estimated Hours <br />Crew <br />CoNractor <br />Assigned To <br />Assigned �y ' <br />Assigned Date ___ io de Comp Date <br />�c iedu�e l�ate c e u e ime -- <br />Route Rou�e Sequence <br />Comments <br />Action Taken �ILL TO: THOh1A5 8 PATRICIA S.IFLEY <br />728 HOYT AVE <br />EVERETT, WA 98201 <br />Recommended Action <br />AppfOVOd By EGS EAlON, GREG S <br />Start Date � f i Time <br />Job Cost Information(Y/N) <br />- ------- . -- _ <br />Dale Compieted aiaono�s Permit No <br />