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Work Activity Work Order <br />►�IL� ��� <br />[%�cn, 1 <br />_,,:..:� �� <br />ISSUE'd BY CSG CAVANAH, SHANE G. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued veizata <br />Fund aot Account s Program �to Function �t9 Activity 675 <br />Program <br />TiHe KILL ]S INCH 1730 126TH ST SE 71011P6i5 <br />Wark Order No 20130326 PlOJ2Cf Activity Type CORRECTIVE MAWTEN4NCE SI8IU5 CL <br />Stat�s vono�a Time iz �o Origmal WO Bdhng <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No � � <br />Second Phone � � <br />E-Mad Address <br />P•oblom Informalion <br />P.ddress 1730 <br />From Cross Street <br />To Cross Slreet <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Uhlity Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date <br />Scheduled Date <br />Route <br />Commonts <br />Street <br />City <br />7.ip <br />Ext <br />Ext <br />Stree' 126TH ST SE <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Ftoute Sequence <br />Cusromer ld <br />Change Map Y/N <br />7_ip <br />Ma� Reference <br />Dale Requested <br />Related Request <br />Ezpirahon Date <br />Prioriry Estimated Hours <br />Action Taken BILL JOO. BILL TO REHYDAL CONSTRUCTION, 8908 EASNIEW AVE, EVERETT WA, 98208. <br />KILLED SERVICE Ai MAIN. <br />Racommendod Aclfon <br />Ap�roved By DDL f1Rl+SZT. DAVID L <br />Slart Dale � i Tiroe <br />Completed By <br />Job Cost Information(YIN) <br />Date Completed yenota Permit No <br />Time Follow Up? <br />