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Work Activity Work Order pa9e ' <br /> 4/15/2014 14:58 <br /> ISSUe(1 BY SRA SORGEN,ROBERT A. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 317 112074 <br /> Fund �zo Acw�nts Progrr�� eao Function �os Acti�;ity et� <br /> Program <br /> Title SIDEWALK REPI.l�CEtJENT 1115 WETIdORE <br /> Work Order No 20140884 PfOJOCI Activity Type CORRECTIVE MAINTENANCE $�BWS CL <br /> Status Qr�s�zoia Time �as� OriginalWO __ _ _Billing_ _ _ ______ _ ______ <br /> Customer Informatior� <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subc ;vision Change A1ap Y/N <br /> Phone No ( 1 - Ext <br /> Second Phone ( ) • Ext — <br /> E-Mail Address _ <br /> Problem Information <br /> Address Street <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Prablem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assig�,�d To <br /> Assigned By <br /> Assiyned Date To Be Comp Date <br /> Scheduled Date Scheduled Time _ __ <br /> Route Route Sequence <br /> Comments <br /> Action Taken BILI TO: MARVIN RADER <br /> 7175 WETMORE AVE <br /> EVERETT,WA 98201 <br /> Recommended Action <br /> Approved By MKC2 MCAULIFFE. KERRYN C. JOb COSf If1fOflllBllOf1(Y/N) <br /> Start Date i � Time Date Completed 317212014 Permit No <br />