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Work Activity Work Order PdQe 1 <br /> 11/4/2013 8: 12 <br /> . _ ..__ _ ._ _. _ __ . _—_____— __ __._. __ . <br /> ISSu2d�By SJT2 SPOONER,JAMEST. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued annso�a _ <br /> Fund 4a� Account 5 Program i-unction Activity <br /> Program utaa�a a a <br /> TIfIE CONVERT.75 INCH 1522 BAKER AVE UT3473-7-3 <br /> Work Order No 20132886 PfOJEC� Activity Type CORRECTIVE MAINTENANCE $tBfUS CL <br /> Status ?mi2oia Time is.o� OriginalWO __ __ __ Billing _ ______ <br /> Customer Infarmation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( ) • Ext __ ___ _ <br /> Second Phone ( 1 • Ext <br /> E-Mail Address —_.___—_---- — <br /> Problem Infonnation <br /> Address 15yp Street BAKER AVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reterence <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate(USA) No Calied Date Expiration Date <br /> Assignment Informatlon <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assi ned Date To Be Comp Date __ _ � . f'.y� <br /> 9 ---- �! � '.. � <br /> Scheduled Date ___ Scheduled Time ___ <br /> Route Route Sequence <br /> Comments <br /> Actlon Taken CONVERT.751NCH CURBSTOP TO.761NCN SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ Husev, uaNCE�. Job Cost Information(YIN) <br /> Start Date i � Time _ ____ Date Completed ton5�zota_ Permit No _ <br /> __ _-- <br /> Completed By Time Follow Up? <br />