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�,k;;�� hZtY��'� x-�it�� �: <br />' yv� i ,. �v <br />n�°i �.. � r.a i c y.1 � W cr <br />Work Activity Work Order <br />ISSUOd BY SRA SORGEN, ROBERT A. <br />Issued Departmentaw PUBLICWORKS <br />Date Issued ai�anou <br />Fund iyp Accounts Program eao <br />Program <br />Till2 SIDEINALK REPLl�CEMENT 2225 RAINIER AVE <br />Work Order No 20150712 Project Activity Type <br />Sf2IU5 312412015 TlfilO OZSB Oriqinal WO <br />Customer In(ormation <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( 1 - <br />Second Phone ( ) - <br />E-Mail Address <br />Problem Infortnation <br />Address <br />From Cross Street <br />Ta Cross Street <br />Ciry <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Iniliated From <br />Utifity Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date _ <br />Scheduled Date _ <br />Route <br />Comments <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street <br />Action Taken BILL TO: JIM WHEISELL <br />2225 RAINIER AVE <br />EVERETT, WA 98201 <br />Recommended Action <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Approved By EGS EATON, GREG S. <br />Scart Date � � Time <br />��6�� ,��� <br />Function toa <br />Customer ld <br />2age 1 <br />]/25/2015 8:0'_ <br />Activity ett <br />CORRECTIVE MAINTENANCE SfatUS CL <br />Change Map YIN <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />CcF38�4Jtfav�f'R��l'.',��i <br />Job Cost Information(Y/N) <br />Date Compieted 2/2712015 Permit No <br />