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Work �+ctivity Work Order ' "" <br /> , ;i„ _�n�� .:�� <br /> ISSUEd BY SJT� SPOONER,JAMES T. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued vtmu�a <br /> Fund aot Account s Program Function Activity <br /> Program utaa�a a � <br /> Title CONVERT 75 INCH 1626 BAKER AVE UT3479-3�3 <br /> WOfk OfdCE NO z0�3Z89Z PfOJBCf Actiaity Type CORRECTIVE MAINTENANCE S12W5 CL <br /> £taWs 9117/2013 Ti01e 1316 Original WO Billing <br /> Customer Information Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment No City <br /> State Z�p <br /> Subdivision Change Map Y/N <br /> Phone No ( � - Ext <br /> Second Phone 1 i - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 162& Street gqKER AVE <br /> From Cross Slreet <br /> To Cross Street <br /> City Zip <br /> >ubdivision Map Book Map Reference <br /> Problem WATER WATER <br /> S�b Problem OTHER OTHER Date Requested <br /> Rec uesled By Related Request <br /> Agency <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Informatlon <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned B� To Be Comp Date <br /> Assigned Date <br /> Scheduled 7ate <br /> Scheduled Time '� � �"�� �� ' �''��i � ` � <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP 10.751NCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ Husav �nNce� Job Costln(ormation(Y/N) <br /> Start Date � � <br /> Time Date Completed �onsno�a Permit No <br /> Completed By Time �ollow Up? <br />