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Work Activity Work Order <br />Page 1 <br />10/18/2011 8:51 <br />ISSU2d By SRA SORGEN, ROBERT A. <br />Issued Department rw PUBLIC WORKS <br />Date Issued ton�no�i Activi <br />Fund tso Account 5 Program e�o Function �os ry e» <br />Program <br />Title SIDEWALK REPLACEMENT B25 RUCKER 84070B611 <br />WOfk OfdBf NO ZO��Z4�6 PfOJ@Ci Activity Type CORRECTIVE MAINTENANCE SfBIUS CL <br />Status tonei2o7i Time oe:t9 Original WO Billing <br />Customer Iniormation <br />Customer Name <br />Address <br />ApartmentNo <br />State <br />Subdivision <br />Phone No � 1 <br />Second Phone ( > <br />E-Mail Address <br />Problem Iniormation <br />Address 825 <br />From Cross Street <br />To Cross Streel <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />A ' ned B <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street RUCKER AVE <br />Map Book <br />Called Date <br />ssig Y To Be Comp Date <br />Assigned Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments BILL TO: TIM MCNAMARA <br />825 RUGKER AVE <br />EVERETT, WA 98207 <br />Aclion Taken <br />Cusromer ld <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />