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Work Activity Work Order P�9e 1 <br />11/17/2011 16:29 <br />ISSUBd 8y SRA SORGEN, ROBERT A. <br />Issued Department rw PUBLIC WORKS <br />Date Issued �oiano�� <br />Fund t2o Account s Program eno Funciion �oe Activi.ry stt <br />Program <br />TIt18 SIDEWALK REPLACEMENT 902 RUCKER 840108611 <br />Work Order No 20112535 PfOJOCt Activiry Type CORRECTIVE MAINTENANCE StetUS CL <br />StaWs tvt��zon Time t6:2s Original WO Billing <br />Custamer Informallon <br />Customer Name <br />Address Street <br />Apartment No City <br />Slate Z�P <br />Subdivision <br />Phone No ( 1 • Ext <br />Second Phone ( ) - Ext <br />E-Mail Address <br />Problem Informatlon <br />Address gpy Street RUCKER AVE <br />From Cross Street <br />To Cross Slreet <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested 8y <br />Agency <br />Initialed From <br />Map Book <br />Utility Locate (USA) No Called Date <br />Assignment Informatian <br />Dept <br />Crew <br />Contraclor <br />Assigned To <br />Assigned By <br />Assigned Date _ To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken BILL TO: BRIAN 8 COURTNEY MAGGIO <br />902 RUCKER AVE <br />EVERETT, WA 98201 <br />Customer ld <br />Change Map YIN <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Fstimated Hours <br />Recommended Action <br />A�pfOVEd By SRA SORGEN, ROBERTA. JOb COSf IflfOftllatl0fl(Y/N) <br />Starl Date � � Time Date Completed t�nenoi� Permit No <br />