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Work Activity Work Order Page � <br /> 11/9/2010 11:50 <br /> ISSUEd By SRA � SORGEN,ROBERT A. <br /> Issued Department Pw Pueuc wottKs <br /> Date Issued t�reno�o <br /> Fund t2o Account 5 Program a�o Function �pe Activity 6» <br /> Program <br /> TItIE SIDEWALK REPLACEMENT 1502 WETMORE 840108611 <br /> Work Order No 20102653 PfOfEC1 Activity Type CORRECTIVE MAINTENANCE $�B�US CL <br /> St8tU5 1119/2010 TlfilB tti22 _ Of19i081 WO 89557 Blllifl9 <br /> Customer Infortnation <br /> Customer Name Customer ld <br /> Address Sireet <br /> Apartment No Ciiy <br /> State Zip <br /> Subdivision Change Map YIN <br /> Phone No ( ) • Ext <br /> Second Phone ( ) • Ext — <br /> E-Mail Address <br /> Problem Informatlon <br /> Address �Spy Street yyETMORE AVE <br /> From Cross Street <br /> To Cross Street <br /> City 'Lip <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 Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> ConUactor <br /> Assigned To <br /> Assigned By <br /> Assigned Date _____ _ To Be Comp Date __ <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments BILL TO: ERIN PAULEY <br /> 1502 WETMORE AVE <br /> EVERETT,WA 98207 <br /> ACtlOtt T0k¢ft OWNER AND TENANT SPLITTING COST <br /> Recommended Action <br /> Approved By sRn SORGEN,ROBERT A. JOb COSf IflfOftT18f10(1(Y/N) <br /> Start Date � i Time Date Completed 10f2812010 Permit No <br />