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Work Activity Work Order _ �':� -. ., <br /> ISSUBd BY SJT2 SPOONER,JAMES T. <br /> Issued Departmentvw PUBLICWORKS <br /> Date Issued �i�9izo» Activi <br /> Fund �ot Account s Program »o Function >>9 ty s�s <br /> Program <br /> TIllO CONVERT.75 INCH 1127 E CASINO RD 710119675 <br /> Work Order No 20130265 Project Activity Type CORRECTIVE MAINTENANCE $I0Il1S PR <br /> Status vzv2oi3 Time o9 iz __ Onginal WO _ _ _ _ _____Billing _ —_— <br /> Customer Intormation Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment No City <br /> Slate Z�P <br /> Subdivision Change Map Y!N <br /> Phone No � 1 • Ext --- -- -- -- ------- <br /> Second Phone l � - Ext <br /> E-Mail Address - - - - --- <br /> Problem Iniormation <br /> Address ��y7 Street ECASINORD <br /> Fram Cross Slreet <br /> To Cross SVeet <br /> City ZiP <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <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 Informatlon <br /> Dept Pnority Estimated Hours <br /> Crew <br /> Contrector <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp D:a,�� <br /> Scheduled Date Scheduled Tin•�� <br /> Route Route Sequence <br /> Comments <br /> Actian Takeo CONVERT 75 MCH CUROSTOP TO 751NCH SETTER WITH METER AND�OX.OWNER RE�. <br /> Recommended Action <br /> Approved By : Job Cost Informaaon�YlN� <br /> Start Dale i i T�re Date Compieted � i 1�� � i j__ Permit No <br /> -- - - <br /> Completed By f�.�i I�� � Time . Follow UP7 --------- <br />