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a n .-. .—� <br /> _` ���I, G.'•:.0 F.i1 <br /> HO MATERIALS ;-� <br /> Work Activity Work Order Pd9e ' <br /> 1z/1�/?ois ia :z� <br /> Issued By SRA SORGEN,ROBERT A. <br /> Issued DepartmentPw PUBLICWORKS <br /> Datelss�ed �v.onou <br /> Fund tzo Accounts Program eao Function �oe Activity s�; <br /> Program <br /> TitlB SIDEWALK REPIACEMENT 2330 OAKES <br /> V�brk Order No 20152704 PfOjOCi Activiry Type CORRECTIVE tdAINTENANC[ Sl0tU5 CL <br /> StaWs �zn��zois Time �� +5 _Original WO _ ____Billing________ _ ___ __ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phore No ( 1 • Ext <br /> Second Phone ( ) • Ext ---- ------- — -- --- --- - - <br /> E-Mail Address <br /> Problem Information <br /> Address Slreet <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Dale Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Eslimated Ho�us <br /> Crew <br /> Contractor <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 /> Action Taken BILL TO:KRYSTYNA SIMM <br /> 2330 OAKES AVE, EVERETT,WA 98201 <br /> @550.00 PER MONTH <br /> Recommended Action <br /> Approved By ccE ci�us, cHnowiK[. Job Cosl Information(Y/N) <br /> Start Date i � Time Dale Completed �vzoizo�s Permit No <br />