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Work Activity Work Order Pa�n ' <br /> i„�qizoi? ia :i3 <br /> ISSUEd By SJT] SPOONER,JAMES T. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued 9I512013 <br /> Fund ao� Account 5 Program Function Activity <br /> Frogram ur3a�a a a <br /> Title CONVERT 5 INCH 2316 BAKER AVE UT3477-3-3 <br /> WOfk Ofde� NO 20132598 PfOJCCf ACUVIfy TyPO CORRECTIVE MAINTENANCE St8f115 CL <br /> Status si5no�3 Time �n 3e Original WO Billing _ _ <br /> Customer Informatlon Customer ld <br /> Customer Name <br /> Address Streei <br /> P.partment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 • Ext <br /> Second Phone ( 1 - Exl <br /> --- - --- - - ---------- <br /> E-Mail Address ------------ ------ <br /> Problem Information <br /> Address 2316 Street BAKERAVE <br /> From Cross Street <br /> To Cross Street <br /> City Z�p <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> 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 Comp Date <br /> Assigned Date <br /> Scheduled Date Scheduled Time <br /> Route Sequence � i;; ;: ! •^ <br /> Route .. . Y .,� t' I �. ��: �., ; . <br /> Comments <br /> ACt1011 T0kCf1 CONVERT.S INCH CURBSTOP T0.75 INCH SETTER WITH METER AND BO%.FLAT TO METER <br /> PROJECT. <br /> Recommended Actiun <br /> Approved By HLJ HUSBY.LANCEJ Job Costlnformation(Y/N) _ _ <br /> Start Date i i Time Date Completed 9n�iso�3 ___ Permit No <br /> Completed Dy Time Follow Up? <br />