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Page 1 <br /> Work Activity Work Order „�1,�,1, ,:5; <br /> Issued By SJT2 SPOONER,JAMES T. <br /> Issued Deparlmen!rw PUBLIC WORKS <br /> Date Issued 512 2120 7 3 Activit <br /> Fund ao� AccouM s Program �io Function ��y y 675 <br /> Program CONVERT 75 INCH 221 B BAKER AVE 710119675 <br /> Title <br /> Work Order No 20131038 PfOfBCI Activiry Type CORRECTIVE MAINTENANCE $f81U5 CL <br /> Status 5rzznoi3 Time �50o OriginalWO 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 l ) - Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Iniormation <br /> Address yZ�g Street BAKER AVE <br /> From Cross Slreet <br /> To Cross Slreet <br /> City ZiP <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Depl Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By To Be Corcip Date <br /> Assigned Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP TO.75 INCH SETTER WIMETER AND BO%.OW�IER REQ. <br /> Recommended Action <br /> Approved By w�� �AVER, DEAN L JOb COSI IfIfOlfT13tI0f1(Y/N) <br /> Start Date i i Time Da!e Completed s�zsitoi3 Permit No <br /> Completed E3y Time Fallow Up l <br />