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��� ����1��`����I�� <br /> Work Activity Work Order Page 1 <br /> 12/8/2017 14:54 <br /> ISSUOd By SRA SORGEN,ROBERT A. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 10/3/2017 <br /> Fund �zo Account s Program sao Function �oa Activity s�� <br /> Program <br /> Title SIDEWALK REPLACEMENT 1402 HOYT AVE <br /> Work Order No 20172922 PfOJ2Ct Activity Type CORRECTIVE MAINTENANCE StBtUS CL <br /> Status 12/8/2017 TICTl2 14:47 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 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: LARRY WOLD <br /> 1402 HOYT AVE <br /> ' EVERETT,WA 98201 <br /> Recommended Action <br /> Approved By EGS EATON,�RE�s. Job Cost Information(Y/N) <br /> Start Date � � Time Date Completed 10/3/2017 Permit No <br />