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Page 1 <br /> Work Activity Work Order liiaizoi3 e:ia <br /> - --. __ ______ _ <br /> - --- ------ - <br /> Issued By SJT4 SPOONEH,JAMES T. <br /> Issued DepartmentPw PUBLIC WORKS <br /> Date Issued s�»��a�� Pro ram Function Activity <br /> Fund eo� Accounts 9 <br /> Program uTaas a � <br /> TIfl2 CONVERT.75 INCH 1506 BAKER AVE UT3473J-3 <br /> V110fk OfdCE NO 20132883 PfOJ2CI Activity Type CORRECTIVE MAINTENANCE S�BWS CL <br /> S�y��S 9117/2013 TIfi10 13:0J Ofl If18�W�_________ B�III�9 __ __________—.— <br /> Customer Infortnation Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No l 1 • Ext _ __ - <br /> Second Phone ( > • Ext <br /> E-Mail Address — — — <br /> Problem Intormation <br /> Address 1506 Street BAKER AVE <br /> From Cross Street <br /> To Cross Street Zip <br /> City Map Book Map Reference <br /> Subdivision <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated From Ex uation Date <br /> Utility Locate(USA) No Called Date P <br /> Asaignment Iniormation priority Estimated Hours <br /> Dept <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By To Be Comp Date <br /> Assigned Date _ _ ___ - . <br /> Scheduled Date __ Scheduled Time _ � ! =,;�j��� �� �; �ti <br /> Raute Route Sequence <br /> Comments <br /> Action Taken CONVERT.76 INCH CURBSTOP TO.76 INCH SETTER WITH METER AND BO%.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By Hw Husev,�a,NCE�. Job Cost Information(Y/N) <br /> Time Date Completed tmtdzots Permit No <br /> Start Date � ! — <br /> Completed By Time Foliow Up? <br />