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Work Activity Work Order PdQe 1 <br /> 11/9/2010 11:50 <br /> ISSllOd By SRA SORGEN,ROBERT A <br /> Issued Departmentrw PUBLICWORKS <br /> Date Issued �treizoto <br /> Fund �2o Account s Program a�o Function �oe Activity 6» <br /> Program <br /> TItl2 SIDEWALK REPLACEMENT 1502 WETMORE AVE 840108611 <br /> Work Order Na 20�026� Project Activiry Type CORRECTIVE MAINTENANCE S18►US CL <br /> Status >»9no�o_Time �r.ze OriginalWOasss� _ Billing _ <br /> Customer Infortnation <br /> Customer Name Customer ld <br /> Address Sheet <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 - Ext <br /> Second Phone ( 1 - Ext <br /> E-Mail Address <br /> Problem Infortnation <br /> Address �Spy Street yyETMOREAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map 800k Map Reference <br /> Problem <br /> Sub Problem <br /> ReG�ested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utiliry Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned Ta <br /> Assigned By <br /> Assigned Date _ __ To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comme�ts BILL TO: JOHN GLOVER <br /> 5026•72ND DR SE <br /> SNOHOMISH,WA 98290 <br /> Action Taken OWNER AND TENANT SPLITTING COST <br /> Recommended Action <br /> Approved By srtn SORGEN,ROBERT A. JOb COSI IflfOfrtlatlOfl(Y/N� <br /> Start Date � i Time Date Compieted tone�2o�o Permit No <br />