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NO MATERIALS <br /> Work Activity Work Order Page 1 <br /> 9/14/2017 6:42 <br /> Issued By SRA SORGEN,ROBERT A. <br /> Issued Department PW PUBLIC WORKS <br /> Date Issued 10/28/2016 <br /> Fund 120 Account 5 Program 840 Function 1o8 Activity 611 <br /> Program <br /> Title SIDEWALK REPLACEMENT 1402 COLBY AVE 840108611 <br /> Work Order No 20172338 Project Activity Type CORRECTIVE MAINTENANCE Status CL <br /> Status 9/14/2017 Time 06:37 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 ( ) - Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address Street <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 /> 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 <br /> Action Taken BILL TO: RALPH GELLERSON <br /> 1402 COLBY AVE <br /> EVERETT,WA 98201 <br /> Recommended Action <br /> Approved By GCE GILLIS,CHADWIK E. Job Cost Information(Y/N) <br /> Start Date / / Time Date Completed 11/9/2016 Permit No <br />