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L <br /> I <br /> Work Activity Work Order Page 1 <br /> _ 10/14/2015 30:3; <br /> Issued By SRA SORGEN,ROBERT A. <br /> Issued DepartmentPw PUBLIC WORKS <br /> Date Issued 9115/2015 <br /> Fund 120 Accounts Program e4o Function toe Activity 511 <br /> Program <br /> Title SIDEWALK REPLACEMENT 202 79TH PL SE <br /> Work Order No 20152279 Project Activity Type CORRECTIVE MAINTENANCE Status CL <br /> Status 1014/2015 Time 1032 Original WO _ Billing_ <br /> Customer Information <br /> Customer Name Customer Id <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No I I - Ext <br /> Second Phone I I Ext --- -- <br /> E-Mail Address <br /> Problem Information <br /> Address Street <br /> From Cross Street <br /> To Cross Stree <br /> city zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Dale Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate(USA)No Called Datc. 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 <br /> Action Taken BILL TO: BARRY 8 DEEDEE REYNOLDS <br /> 202 79TH PL BE <br /> EVERETT WA 98201 <br /> Recommended Action <br /> Approved By MKC2 MCAULIFFE.KERRYN C Joh Cost Information(Y/N) <br /> Start Date I I Time Date Completed 9/2312015 Permit No <br />