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Work Activity Work Order Pa�` ' <br /> :o�;�a;�.�,;, � it :�3 <br /> ISSUBd By SJT2 SPOONER,JAMES T. <br /> Issued Departmentrw PUBLICWOR'CS <br /> Date Issued 9n�isu+� <br /> Fund qo� Accounl s Program Function Activity <br /> Program uraa» a s <br /> TIIIQ CONVERT 75 INCH 1713 BAKER AVE UT3473-3-7 <br /> Wark OMer No 20132866 PfOf?C1 Activiry Type CORRECTNE MAINTENANCE S�81U5 CL <br /> Slatus Qmrzo�a Time io a� Original W0 Billing <br /> Customer Information Customer ld <br /> Cuslomer Name <br /> Address Streel <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/P! <br /> Phone No � � - Ext <br /> Second Phone � � - Ext <br /> - --- -------------- <br /> E-Mail Add ress __—-_--------- -— - —----- <br /> Problem Iniormation <br /> Ad�ress 17�3 Street BAKERAVE <br /> From Cross Street <br /> Tc Cross Street <br /> Ci'.y Zip <br /> Subdivision Map Book M2p Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency <br /> Related Request <br /> Initiated From <br /> Ulility Locate(USA) No Called Date Expiration Date <br /> Assignment Iniormation <br /> �npt 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 __ __. . p ; �� �� � i � µ M 4i <br /> Roule Route Sequence <br /> Comments <br /> Actlon Taken CONVERT.75 INCH CURBSTOP TO .75INCH SETTER WITH METER AND BO%.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ HUSBV.LANCE J Job Cost Information(Y/N) _ <br /> Start Date i � Time Date Com leted �orei�o�s Permit No <br /> P _ _ . .. -- <br /> Completed By Time Follow Up9 <br />