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Worh Activity Work Order Page 1 <br /> 7/30/2013 .4:34 <br /> __—.— —_ <br /> ISSUBd By SRA SORGEN, R08ERT A. <br /> Issued DepartmentPw PUBLIC WORKS <br /> Date Issued m�zo�3 <br /> Fund �zo Account 5 Prog�am aao Function �oe Activiry s�� <br /> Program <br /> TIIIO SIDEWALK REPLACEMENTJ609 26TH ST <br /> Work Order No 20131554 °raject Activity Type CORRECTIVE MAINTENANCE SI2fUS CL <br /> Status 7/30I2013 Time ta2o Ori inal WO Billing _ ___ _ _ ________ _ _ _ <br /> - - -- --- - - - — <br /> Customer Infcrmation Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment No City <br /> State Z�p <br /> Subdivision Change Map YfN <br /> Phone No ( 1 - Ext <br /> __ ._ _ _ -- <br /> Second Phone ( > - F.xt <br /> E-Mail Address __ - - - ------- --- -- <br /> Problem Information <br /> Address 3609 Street p6TH ST <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 /> Ut�lity Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> pp�,� Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date __ <br /> Scheduled Date _ Scheduled 1"ime _ <br /> Route koute Sequence <br /> Comments <br /> Action Taken BILL TO: ARVIENE OLSON <br /> 3609 26TH ST. <br /> EVERETT,WA 98201 <br /> Recommended Action <br /> Approvec' By ecs EAroN,�R�.' =. Job Cost Information(Y�N; <br /> Start Date � r Time Date Completed �nsiz6ta Permit No <br />