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� <br /> Work Activity Work Order : ' ' � <br /> ISSUP(: 4)' SJT2 SPOONFR,JAMFS T. <br /> Issued Departinent rw PU�LiG WORHS <br /> Date Issued �aiz3nota <br /> F vnd ao� Accovn[ e Program Function Activity <br /> Pr�gram uT�a�s 3 � <br /> T��� CONVERT 75 INCH 2210 BAKER AVE UT3d73�7�3 <br /> WOfk nfdBf NO 20133429 PfOJBC� Activity Type CORRECTIVE MAINTENANCE SI8W5 CL <br /> Status �onarzoi3 Timeiose OriginalWO E3illing <br /> Customer Intorrnation Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment No City <br /> State Z�p <br /> Subdivision Change Map Y/N <br /> PhoneNo I 1 - Fxt — —_ _. ___ ___------ <br /> Second Phone � 1 • Ext <br /> E-Mail Address ----- --- --------- <br /> Problem Informati,�� <br /> Address y?�p Sheet BAKER AVE <br /> From Cross Street <br /> To Cross SUeet , <br /> City ` �� <br /> Subdivision Map Book, ��1ap Re(crc:nc�-� <br /> Problem WATER WATER <br /> Sub Pmblem OTN.ER OTHER �,�f. ����iiEsted <br /> Requested By 1=.eiated Request <br /> Agency <br /> Initiated From Ex i ation Date <br /> Utility l ocate (USA) No Galled Date P' <br /> Assignmenl Information <br /> Dept Priority Estimated Hours <br /> C rew <br /> Coritractor <br /> Assigned Tc <br /> Pssigned Ry <br /> Assigned Date To �e Comp Date <br /> ;cheduled Date Scheduled Time _ _ <br /> �j � <br /> Route Route Sequence ����'���� <br /> Comments <br /> Action Taken CONVERT .751NCI1 CUR65TGP Tn .751NCH SETfER WITH METER AND BOX.FLAT TO METER <br /> PROJFCT. <br /> Recommended Action <br /> �pproved t3y HLJ �+���`+� �nNcr: � Job Cost Information(Y/N) <br /> lime Date Completed �ona�zo�3 Permit No <br /> Start Date � � — - -- <br /> Completed By <br /> Time Follow Up7 <br />