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Work Activity Work Order <br />Page 1 <br />9�i�zoi5 io:so <br />ISSUed Hy CSG CAVANAH, SHANE G. <br />Issued DepartmentPw PUBLICWORKS <br />Date Issued s�2eizot5 <br />Fund aot Account s Program »o Function ity Activity e�s <br />Program <br />Title RENEW 75 206 W MUKILTEO BLVD 710119675 <br />VVO�k OfdBf NO 20�5�2�2 Pf0)eCl Activiry Type CORRECTIVE MAINT[NANCE S�OIUS Cl <br />Status 528/2015 Time oe iz Original WO zoiai na Billing _ <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No � <br />Secand Phone l <br />E-Mail Address <br />Problem Information <br />Address <br />From Cross Street <br />To Cross Sireet <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment In(ormation <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 />) • Exl <br />Slreet <br />Action Taken TRANSFERRREO SERVICE. <br />Recommended Action <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Exoiration Date <br />Priority Estimated Hours <br />�pprcved By Fo� FisHeR, oossv � Job Cost Information(YIN) <br />Start Date � � Time Date Compleled ��v2ots __ Permit No <br />-- - — <br />Com leted B Time Follow Up7 _ <br />Y — --- _ <br />--- -- — -- --- <br />