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1 <br /> Work Activity Work Order page ' <br /> 6/25/7015 13:43 <br /> ISSUOd By SRA SORGEN,ROBERT A. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued eneisa�s <br /> Fund �zo Account s Program sao Funclion tae Activity et� <br /> Program <br /> TIII2 SIDEWALK REPIAC[MENT 2903 VICTOR PL <br /> Work Order No Z0�5�$99 Project Activity Type CORRECTIVE MAINTENAhCE Status c� <br /> Status ensnois Time �3;3e _Original WO _ _ _ Billing _ _ ___ <br /> Customer In(ormation <br /> Customer N2me Customer ld <br /> Address Street <br /> Apariment No ��ty <br /> State Zip <br /> Subdivision Change Map YIN <br /> Phone No � � - E� ____ -- <br /> Second Phone ( ) • Ext <br /> E-Mail Address — ___ ----- — — <br /> F'roblem Information <br /> Address Street <br /> From Cross Street <br /> To Cross Slreet <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Date Requested <br /> Requested By Relaled Request <br /> Agenr,y <br /> Initiated From <br /> Utility Locate (USA) No Called Dale Expiration Dale <br /> Assignment Infortnation <br /> Dept Priority Es6mated liours <br /> Crew <br /> Conlractor <br /> Assigned To <br /> Assigned Dy <br /> Assigned Date _ ___ _ To Be Comp Dale <br /> Scheduled Date Scheduled Time ___ <br /> Route Route Sequence <br /> Comments <br /> Action Taken 811L TO: LARRY WEIR <br /> 290J VICTOR PL. <br /> EVER[TT,WA 98201 <br /> Recommended Action <br /> Approved By vn� vnN��u77[N,nnRON� Job Cost In(ormation(Y/N) <br /> Start Date � i Time Dale Compleled enm2ots Permil No <br />