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. <br /> Work Activity Vllor�c Order PdQe 1 <br /> . 6/8/2019 7:OC <br /> ISSUBd By WMW WAR�,MICHAEL W. <br /> i55U81 UepartmentPW PUBLIC WORKS <br /> Cate Is:�u;d s�eizo�a -• <br /> Fund aot Account s Program »o Function 119 Activity esa <br /> Prograrr� <br /> TijIE 50.75 INCH 251d JACKS0IJ AVF. 71 01 7 9664 <br /> Work Order No 2��426�� PfOf@Cl Activih�r Type CORRECTIVE MAINTEhANCE $18f115 PR <br /> Status aieizoia Time �z:ao Original WO so-�3303 Billing _ <br /> Customer Information <br /> Customer Name HAACK BROS Customer ld <br /> Address 3922 $If@2t 87TH AVE NE <br /> Apartment No Clfy MARYSVILLE <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 • Exi <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Intormation <br /> Address P5�4 Sheet ,/qCKSON AVE <br /> From Cross Street <br /> To Cross Street <br /> City ZiP <br /> Subdivision Map Book Map Reterence <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 /> Assignrrent Information <br /> Dept Prioriry Estimated Hours <br /> Crew <br /> Gontraclor <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 /> ActionTaken �"""�'��crJ i�«� 3�y�� s� '�ce �'�� lyb`I _ <br /> � � <br /> � <br />