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Work Activity V1lork Order <br /> ISSIIPd By SJT2 SPOONER,JAMES T. <br /> Issued Departmentaw PUBLIC WORKS <br /> Dalelssued tonanot3 <br /> Fun•1 aot Accounl s i'rogram Function Activiry <br /> Program uraan a a <br /> TIII2 CONVEP.T 75 INCH 2110 BAKER AVE UT347�-&7 <br /> Work Order No 20133405 PfOJOC� Activity Type CORRECTIVE MAINTENANCE $�81U5 CL <br /> StaWs �onai�o�s Time oe se Original W0 Billiny <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Stree; <br /> Apartment No City <br /> State Z�P <br /> Subdwision Change Map Y/N <br /> Pnone No 1 i - Ext _ <br /> Second Phone � � - Ext <br /> E-Mai�Address <br /> Problem Informatfon <br /> Address y��p Street BAKERAVE <br /> From Cross Street <br /> To Cross Streel <br /> Ciry Zip <br /> Subdrvision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER 01'.HER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Uulity Locate (USA1 No Cailed Date Expiration Date <br /> Assignment Infoi a�ion <br /> Dept Prionty Estimaled Hours <br /> Crev,� <br /> Contractor <br /> Assigned To <br /> Assigned Ry <br /> Assigned Date To 6e Comp Date ` <br /> Scheduled Date <br /> Scheduled Tune '�"t � i���j U t`� L fvf i� � <br /> Route Route Sequence <br /> Comments <br /> Action Taken CbNVLRT ]5 INCH CUR�STOP TO]S INCH SETTER WITH METER AND 807( FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ r{us�vv i nNr.c � Job Cost Information(Y/N) <br /> -- <br /> Start Date � � T�me Date Completed ionanau Permit No <br /> Campleted By i ime Follow Up� <br />