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�� ��������� <br /> Work Activity Work Order page 1 <br /> 12/8/2017 15:30 <br /> ISSU2d By SRA SORGEN,ROBERT A. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued s�si2o�� <br /> Fund �2o Account 5 Program sao Function �os Activity s�� <br /> Program <br /> Title SIDEWALK REPLACEMENT 2311 19TH ST <br /> Work Order No 20172926 Project Activity Type CORRECTIVE MAINTENANCE StBtUS CL <br /> Status �2isi2o�� Time �5:2s 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 /> C rew <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:JEFFREY MICHAELS <br /> 2311 19TH ST <br /> EVERETT,WA 98201 <br /> Recommended Action <br /> Approved By HMJ1 HOPKINS,nnasoN�. Job Cost Information(Y/N) <br /> Start Date � i Time Date Completed 9/8/2017 Permit No <br />