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. , �t�_� :��� t�' �r ���r;, c�°1��=' �� e %�' k e�J <br /> J � y� 1'�p I'� <br /> I!,� c�.a d�:1;i� a _ ':c�lest�i`�- <br /> Work Activity Work Order pa9e 1 <br /> 9�z5�2oi5 io:z9 <br /> ISSUed By SRA SORGEN, ROBERT A. <br /> Issued DepaRment aw PUBLIC WORKS <br /> Datelssued 9nsno�s <br /> Fund tpo Account 5 Program gao Function �oe Activity et1 <br /> Program <br /> TIIIe SIDE'NALK REPIACEMENT 2070 23R0 ST <br /> Wark Order No Z��5Z��6 PfOJ2Cl Activity Type CORRECTIVE M/11NTENANCE $�BIUS CL <br /> Status 9/2 512 01 5 Time io:2i Original WO Biiling _ _— <br /> Customer Infortnation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�p Change Map Y/N <br /> Subdivision <br /> Phone No ( ) - Ext _ __ _— <br /> Second Phone ( 1 - EM <br /> E-Mail Address _ _--- <br /> Problem Infortnation <br /> Address Street <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Probiem Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initi2'ed Frorn Ex iration Date <br /> Utility Locate (USA) No Called Date P <br /> Assignment Information Estimated Hours <br /> Dept <br /> ProriF� <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 Sequ�nce <br /> Comments I <br /> Action Taken BILL TO: HABITAT FOR HUMANITY OF SNO CO <br /> 16929 HWY 99 STE.100 <br /> LYNNWOOD,WA 98037 <br /> Recommended Action <br /> Approved By eGs �ToN,�REc s. Job Cost In(ormation(Y/N) <br /> Start Date � i Time Date Completed 9H612075 Permit No <br />