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.,�r r .��t� <br />r- <br />Work Activity Work Order <br />3 <br />r .�<, i <br />��i�/,'n, io::i�i <br />ISSiI@d By WMP; WARD, MICHAEL W. <br />Issued Department pw PUBLIC WORKS <br />Dale Issued annooe <br />Fund api Account s Program ��o Funclion >>9 Activity s75 <br />Program <br />Title REPAIR 6725 HIGHLAND DR 710119675 <br />WOfk OfdQf NO 2��6�869 PfOJQCI Activity Type CORRE-CTIVE MAINTENANCE S18IUS CL <br />Dale am2oo� Time �a:zt Original WO Billing <br />Customer Information <br />Customer Name <br />Address Sireet <br />Apartment No City <br />State Zip <br />Subdivision <br />Phone No ( 1 - Ext <br />Second Phone ( ) - Exl <br />E-Mail Address <br />Problem Informalion <br />Address g�pg Slreet HIGHLAND OR <br />From Cross Slreel <br />To Cross Slreet <br />Ciry <br />Subdivision Map Book <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Iniliated From <br />Ulility Locate (USA) No Called Date <br />Assignment Information <br />Depl Priority <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date To Be Comp Dale <br />Scheduled Dale Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken <br />BILL TO: O'NEIL CONTRACTING 8 CONSTRUCTION, INC. <br />71625 CENTER RD. <br />SUITE C <br />EVERETT, WA 98204 <br />Cuslomer ld <br />Zip <br />Change tilap Y/N <br />Ma� Reference <br />Date Requesled <br />Relafed Request <br />Expiration Date <br />Estimated Hours <br />CJf11�1018d BY WMW WARU, AiICHAEL VJ. JOb COSi If1fOf012I10l1(YIN� <br />