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Work Activity Work Order "'� 1 <br /> ,; ,,i�ot�i :a: :�:� <br /> ISSUC'd BY SJT2 SPOONER,JAM�S T. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued sisno�s <br /> Fund aot Account 5 Program Function Activity <br /> Program uraa�a a � <br /> TItlO CONVERT 75 INCH 2402 BAKER AVE UT1473-7-3 <br /> Wark Order No z��3zs02 PfOf2CI Activity Type CORRECTIVE MAINTENANCE $181U5 CL <br /> StaWs 9/512013 Time �aae Original WO Billing <br /> Customer Information Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivisir,n Change Map Y/N <br /> Phone No � 1 - Ext <br /> - ---- <br /> _ <br /> Second Phone � 1 - [xt <br /> E-Mail Address — <br /> Problem Information <br /> Address 2402 Slreel BAKER AVE <br /> From Cross Slreet <br /> To Cross Street <br /> City ZiP <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Dale hcquested <br /> Related Request <br /> Agency <br /> Initiated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Informallon <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> �ssigned To <br /> Assigned E3y To Eie Comp Date <br /> Assigned Date <br /> ocheduled Date Scheduled Time _ . <br /> Route Route Sequence � ' t '' -� i` S � �� � <br /> Commenls <br /> Action Taken CONVERT.75 INCH CURBSTOP TO.751NCH SETTER WITN METER ANO BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ Huser, v+Nce � Job Cost Information(Y/N) <br /> --- ---- <br /> StaR Date , r Time Date Completed 9n7nota _ Permit No <br /> Completed Ei� Time Follow Up7 <br />