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�l�.� J0� <br /> Work Activity Work Order Pd9e ' <br /> 2/15/2015 11:46 <br /> ISSU2d By CSG CAVANAH,SHANE G. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued �ti�eitota <br /> Fund �o� Account s Program tto Function »9 Activity 6�s <br /> Program <br /> TIIIO REPAIR.75 INCH 2624 E GRANO AVE 71071%75 <br /> Work Order No 20143556 PfOJ2Ct Activiry Type CORRECTIVE MAINTENANCE $t8iU5 CL <br /> Status �vianoie Time ia:sa Original WO Billing <br /> Cusromer Iniortnation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( f - Ext <br /> Second Phone ( > • Ext <br /> E-Mail Address <br /> Problem Iniormation <br /> Address P6Y� Street E GRAND A VE <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utiliry Locate (USA) No Called Date Expiration Date <br /> Ass(gnment Information <br /> �ept Prioriry Eslimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date __ To Be Comp Date _ <br /> Scheduled Date Scheduleq Time `��� <br /> Route Route Se uence ��9 ��fi'�' �l M <br /> Comments INVENTORY MATERIAL IN TME AMOUNT OF 512J.45 WAS �bJ��; I <br /> JOURNALI2ED IN 2011 i <br /> Action Taken gILL TO.KLB CONSTRUCTION PO BOX 158 MUKILTEO WA. 98275 I <br /> Recommended Action i <br /> Approved By RdP �PELYEA,JASON P. JOb C051 If1fOf�10�10�(Y/N) <br /> Start D�te � i Time Date Completed 7L7812014 Permit No <br /> Completed By Time Follow Up? <br />