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Work Activity Work Order page 1 <br /> 10/29/2013 15:39 <br /> ___ _ .___ —_--__—__.__ _—_. <br /> ISSU2d By SRA SORGEN,ROBERT A. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 10I2912017 <br /> Fund tzo Account 5 Program aao Function �oa Activity s�7 <br /> Prooram <br /> TIll2 SIDEWALKREPLACEMENT2G01RUCKERAVE <br /> VVOfk Ofd3f NO 20133510 PfOjECI Activity Type :ORRECTIVE MAINTENANCE St8fU5 Cl <br /> Stalus iorzar2oi3 Time i_:23 Original WO__ _------ Billin9—_---- - _---- <br /> Customer Information Customer ld <br /> Customer Name <br /> Address �t��et <br /> Apartment No City <br /> S:ate Z'P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) • Ext --_-- ___ _ <br /> Second Phone ( ) - Ext <br /> E-Mail Address - - <br /> Problem Information <br /> Address 2601 Sheet RUCKERAVE <br /> From Cross Street <br /> To Cross Street <br /> City ZiP <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated From <br /> Ulility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Ho�rs <br /> C rew <br /> Coniraclnr <br /> Assigned To <br /> Assigned By To Be Comp Dzte <br /> Assigned Date ___ -- - <br /> Scheduled �ate _ ___ _ ScheduledTime _ _ ___ <br /> Route Route Sequence <br /> Comments <br /> Action Taken BILI TO TAE SAN WILSON <br /> 2601 RUCKERAVE <br /> EVERETT,WA 98201 <br /> Recommended Action <br /> Approved By e�s BISNETi.GREGG S. JOb COSf If110ffllellOtl(YIN) _ <br /> Slari Date � i Time Date Completed aixsna�a Permit No <br />