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Work Activity Work Order page 1 <br /> 10/2/2012 8:19 <br /> ISSUOdBy NMP HALE,MICHAELP. <br /> Issued Department rw PUBLIC WORKS <br /> Date Issued an��xotz <br /> Fund uo Account 5 Program e�o Function �oe Activity e�t <br /> Program <br /> Title SIDEVJALK REPIACEMENT 7423 WETMORE AVE <br /> Work Order No 20122260 Project AcHvity Type CORRECTIVE MAINTENANCE Status cl <br /> Status �oruzo�z Time o�:ss Original WC Billing <br /> Customer Information <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 ( ) - Ext <br /> Second Phone ( ) • EM <br /> E-Maii Address <br /> Problem Infortnation <br /> ddress 14P3 Stree WETMOREAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <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 Informatlon <br /> Dept Priority EsUmated Hours <br /> Crew <br /> Contrector - <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Raute Route Sequence <br /> Comments <br /> ACtiOn Taken BILL TO: CHRISTOPHER DUNPHY 6 NICHOLE ELLIS <br /> 7423 VYETMORE AVE <br /> EVERETT,WA 98201 . <br /> Recommended Action <br /> Approved By BWK BIELSER,WILLIAM K. JOb C0511t1fOf(T18d011(YIN) <br /> Start Date i � Time Date Completed atatou Pertnft Na <br />