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Work Activity Work Order E�i3y�= , <br /> IssuedBy WMyy �/a/�no� ic:oe <br /> Issued Department Pw WARD,MICHAEL W. <br /> PUBLIC WORKS <br /> Date Issued SIII2006 <br /> Fund �o� Account 5 Program »o Function i�y Activit <br /> Program y 675 <br /> Tltle CONVERT 1918 GRAND AVE <br /> Work Order No 2��6095� PfOfeCf Activity Type CORRECTiVE MAINTENANGE SfBfUS pq <br /> Dale 5/4/2006 Tiflte 76.00 Ofi9i�81 WO Bil6t1 <br /> _ 9 <br /> Customer Information <br /> Customer Name Cuslomer ld <br /> Address Street <br /> Apartment No City <br /> State ZiP <br /> Subdivision <br /> Phone No � � . Change Map Y/N <br /> Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address �g�8 Street GRAND AVE <br /> From Cross Street <br /> To Cross Street <br /> City <br /> Subdivision Ma Book ZIp <br /> Problem p Map Reference <br /> Sub Problem <br /> Requested By <br /> Agency Date Requested <br /> Initiated From Related Request <br /> Utility Locate (USA) i�o Called Date <br /> Assignment Information Expiration Date <br /> Dept <br /> Crew Priority Estimated Hours <br /> Contractor <br /> Assigned To <br /> Assigned Dy <br /> Assigned Dale To f3e Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken 1918 CONVERTED USING MOSi PqRTS FROM 1920. 1920 6 7922 THEN KILLED. y`j�11M�1 i � � <br /> BILL TO: GF SKELTON,LLC ���/� � � � <br /> 23633 WOODWqY PARK RD �� � �J ��Zt„�`/ <br /> EDMONDS,WA, g8020 Z P <br /> Completed By �� ��— Job Cost Information(Y/N) <br /> Start Date i i� Time Date Complet=d <br /> � iL/ i� Time <br /> ( <br />