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�V ���� ������ <br /> Work Activity Work Order Page 1 <br /> 12/13/2017 11:42 <br /> ISSU2d By SRA SORGEN, ROBERT A. <br /> ISSUG'd Department Pw PUBLIC WORKS <br /> Date Issued 10/6/2016 <br /> Fund �2o Account s Program aao Function �oa Activity s�� <br /> Program <br /> Title SIDEWALK REPLACEMENT 2530 HARRISON AVE <br /> Work Order No 20172965 Project Activity Type CORRECTIVE MAINTENANCE StBtUS CL <br /> Status 12/13/2017 TIt712 11:35 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 SR#00153791 <br /> Action Taken NOT BILLED-WORK ORDER PROCESSED OUTSIDE BILLING PERIOD <br /> BILL TO: NORTH CONGREGATION OF JEHOVAHS WITNESSES <br /> ATTN:JAMES AYER <br /> 1321 ROCKEFELLER AVE <br /> EVERETT,WA 98201 <br /> Recommended Action <br />