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Work Activity Work Order Page � <br />a����o�� ��:4, <br />-- --_ - ------- -- --- - ------- ------------ <br />ISSU2d By SRA SORGEN, ROBERTA. <br />Issued DepartmentPw PUBLICWORKS <br />Date Issued �iznzo�i <br />Fund �po Account 5 Program sao Function io6 Activity 6» <br />Program <br />Title SIDEWALK REPLACEMENT 19i2 17TH ST 840108611 <br />Work Order No 20111463 PfOJeCI Activity Type CORRECTIVE MAINTENANCE S�2fUS CL <br />Status eivzo�i Time ia:as Original WO Billing <br />Customer Information <br />Customer Name Customer ld <br />Address Street <br />Apartment No City <br />State Zip <br />Subdivision Change Map Y/N <br />Phone No ( ) - Ext <br />Second Phone ( ) - Ext - ---- - -- — <br />E-Mail Address <br />Problem Information <br />Address �91P Street 17TH 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 Req��ested <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 />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: BRANDON KLASSEN <br />1912 17TH ST <br />EVERETT, WA 98207 <br />Action Taken -- -- --- _ _ <br />