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Work Activity Work Order page 1 <br /> 9�ii�zoiz is:zz <br /> ISSUBd BY HMP HALE,MICHAEL P. <br /> Issued DepartmentPw Pusuc woRKs <br /> Date Issued eHreo�z <br /> Fund tzo Acwunt s Program e�o Function toe Activity ett <br /> Program <br /> Title SIDEWALK REPIACEMENT 1420 WETMORE AVE <br /> Work Order No 20122070 Project Activity Type CORRECTNE MAINTENANCE Status c� <br /> Status sntnotz Time ta:sa Original WO Billing <br /> Customer Infortnation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No � � - EM <br /> Second Phane ( 1 • Ext <br /> E-Mail Address <br /> Problem Infortnation <br /> Ad r ss 1420 S r et WETMORE AVE <br /> From(;ross Street <br /> Tq Cross Street <br /> City ZiP <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency <br /> Related Request <br /> Initiated From <br /> Utility Locate(USA)No Called Date Expiration Date <br /> Asaignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By To Be Comp Date <br /> Assigned Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken BILL TO: ALEX BACKUS <br /> 1120 WETMORE AVE <br /> EVERETT,WA 98207 <br /> Recommended Actton <br /> AppfOVBd By BWK BIELSER,WILLIAM K. JOb COSt 111fOfR18t10I1(Y/N) <br /> Start Date i � Time Date Completed attnotz Pertnit No <br />