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Work Activity Work Order Pa9e 1 <br /> 9/15/2014 10:42 <br /> ISSUBd 8y SJi2 SPOONER,JAMES T. <br /> Issued Departmentrw PUBLICWORKS <br /> Date Issued 512I2014 <br /> Fund ao� Account 5 Program Function Aclivity <br /> Program ursa3 • a <br /> Title CONVERT.751NCH 737a BROP.DWAY U73a73-e-3 <br /> WOfk OfdOf r10 Z0�4�0�� Pf0)2CI Activiry Type CORRECTIVE MAINTENANCE $18�U5 CL <br /> Status sizno�a T�me te2z Original WO Billing <br /> Customer In(ortnation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No Ciry <br /> State Zip <br /> Subdivision Change Map YIN <br /> Pho�e No ( ) - Ext <br /> Second Phone ( ) - EM <br /> E-Mail Address <br /> Problem In(ortnation <br /> Address 13�q Street BROADWAY <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Relerence <br /> Problem WATER WATC t <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utiliry Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Prioriry Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date __ �a °> ti� ;� F �t�j ',r_° ��, <br /> -- - ;�'z�.�l.� e� b` a �.s:: i � <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP TO.751NCH SETTER WI7H METER AND BO%.FU1T TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By H�.,i Husev,�nNCE�. Job Cost Information(Y/N) <br /> Start Date � � Time Date Completed natno�a Permit No <br /> Completed By Time Follow Up? <br />