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Work Activity Work Order F3�, = <br /> ;,��«��. _�:�, <br /> ISSUEdBY SRA SORGEN,ROBERTA. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued ��arzo�o <br /> Fund izo Account s Program sao Function �pe Activity 6>> <br /> Program <br /> TIfIC SIDEWALK REPIACEMENT 2526 WETMORE AVE 840108611 <br /> WOfk OfdC'f N� ZO'I O'IH9� PfOfeCl Activity Type CORRECTIVE MAINTENANCE Si3lU5 CL <br /> Status �re�zo�o Time o9s3 Original WO 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 � 1 - Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address __ <br /> Probiem Information <br /> Address ysZS Street yyETMOREAVE <br /> From Cross Streel <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Probiem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utiliry Locale (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Prioriry Estimated Hours <br /> Crew <br /> Contractor <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: STIGER PARTNERSHIP <br /> 10618 NE 795TH ST <br /> bOTHELL WA 98011 <br /> Action Taken - -- — -- — <br /> Y� <br />