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L q.�._ t <br /> 'Work Activity Work Order ,; : ;; <br /> ISSIICd BY SJT2 SPOONER,JAMES T. <br /> ISSUBd Departmentav� PUBLICWGRKS <br /> Date Issued 91�••��� pro ram Function Activity <br /> Fund ao� Account5 9 <br /> Program uraa�s a � <br /> TiIIB CONVEP.?]5 INCH 2721 BAKER AV[UT9473-3-3 <br /> 29132525 Pro e.:t Activi�y Type CORRFCTIVE MAINTENANCE $fBIUS Cl <br /> Work Order No � <br /> � � g�; 7p13 `me �s �s Original WO Bdling <br /> S.atu_, <br /> Customer Informatlon Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment No Gty <br /> State Z�P <br /> Change Map Y/N <br /> Subdivision <br /> Phone No � 1 - Ext __ <br /> . <br /> Second Phone � � • Ext <br /> E-Mail Address <br /> Problem Iniormatl �� <br /> Address p3y� Street BAKERAI;F <br /> Frem Cross Street <br /> T� Cross Street ZiP <br /> C�ry Map Book Map Reference <br /> Subdivision <br /> Problem WATER WA7ER <br /> Sub Problem OTHER OTNcR Date Requected <br /> Reyuested By Related Reques[ <br /> Agency <br /> Inidated From Ex iralion Date <br /> Ut�lity Locate (USA1 No Ca�led Date P <br /> Assignment Iniormation Priority Eslima;ad Hours <br /> Dept <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned E3y To Be Gomp Date ,,,� -, ,,. .,ti ,� <br /> Assigned Date � t , h� � p- � (L ,�,j� f� m_ <br /> Scheduled Date Scheduled Tim� _ . <br /> f�oule Raute Sequence <br /> Comcnents <br /> ACtlOt1 T0k¢It CONVERT.75 INCH �URBSTOP?O.75 i�\CH SETi ER WI7N METER ANU BOX.FLAT TO MF_TER <br /> PROJECT. <br /> Recomm�:nded Action <br /> Approvrd By HLJ Husev �nNce! Job Costlnforroation(Y/N) <br /> - ---__. <br /> Start Dale � i <br /> Tir�e DaleCompleted yne�2oia_ _,_ _ °ermnNo <br /> Completed C3y <br /> Tim� Follaw Up� <br />