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Page 1 <br /> Work Activity Work Order ,o,�y,zol, 15:,4 <br /> ISSUEd By SRA SORGEN,ROBERT A. <br /> Issued Department aw PUBLIC WORKS <br /> Dale Issued tonsno�� qccount s Program eao Activi <br /> Fund �zo Function toa h' e�� <br /> Program <br /> TItl2 SI�EWALK REPIACEMENT 2605 RUCKER AVE <br /> WOfk OfdBf NO 20133511 PfOjeCt Activity Type CORRECTIVE MAINTENANCE Sf8tU5 CL <br /> Status 10I2CI2013 Time ts2s _Original WO Billing _ _ __ _- _ _ - <br /> Customer Information Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment No ��ty <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Exl ---- -- - — - -- __ <br /> Second Phone l ) - Ext <br /> E-Mail Address - -- -- -- - - - - -- --- <br /> Problem Inforrtiation Street <br /> Address 2605 RUCKER AVE <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem Dale Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated From <br /> Utiliry Locate (USA) No Called Date Expiretion Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned T� <br /> Assigned Liy To Be Comp Date <br /> Assigned Date - <br /> Scheduled Date _,_ _ Scheduled Time _ _ _ <br /> Route Route Sequence <br /> Comments <br /> Action Taken BILL TO: BAY VIEW WEST CONDOMINIUM <br /> 2605 RUCKER AVE <br /> EVERETT,WA 98207 <br /> Recommended Action <br /> Approved By e�s BISNETT.GREGG S. JOb COSt IflfOff1181i0�(Y/N) <br /> Start Date � � Time Date Completed s�s�to�a Permit No <br />