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Work Activity Work Ordsr `','� ' <br /> Qi�;�=_�3 ,_:a.� <br /> ISSUP.d BY SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WGRKS <br /> Datelssued ensno�a <br /> Fund ao� Account 5 Program Function Activity <br /> Program uraan 3 9 <br /> TItl2 CONVERT 75 INCH 2128 CEDAR ST UT3473-3-3 <br /> WOfk OfdEf NO Z0�3Z�24 PfOJOCf Aclivity Type CORRECTIVE MAINTENANCF SIBfUS CL <br /> Status aiie�zoi3 Time �s 25 Original WO Billing _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( � - Ext <br /> Second Phone � � Ext <br /> E-Mail Address <br /> — _ <br /> Problem Iniormation <br /> Address p�pg Street CEDARST <br /> From Cross Street <br /> To Cross Street <br /> City --- ZiP <br /> Subdivision Map �ook Map Reference <br /> Problem WATER WATER <br /> Sub Prablem OTHER OTHER <br /> Requested By Date Requested <br /> Aqency Related Request <br /> Initiated From <br /> Utility Locate IUSA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By �'�a� <br /> Assigned Date To Be Comp Date _ _ Q�I L M F[� <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action T'aken CONVERT.75 INCH CURBSIOP TO.76 INCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECI. <br /> Recomrnended Actlon <br /> F,pproved 8y F3L ris�leR aoeev � Job Cost Information(Y/N1_ <br /> 9tart Date i � Time Date Completed emizatn __ Permit No _ <br /> ��i��� ��,�c� �.y Time Follow Up7 <br />