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Work Activity Work Order Pa9e 1 <br /> 10/30/2012 13:09 <br /> _— _. ____. ___. <br /> ISSUBd By SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued amsou <br /> Fund ao� Account 5 Program Function Activity <br /> Program uraa�a z a <br /> TIIIB CONVERT]S INCH 1822 CHESTNUT ST UT3473-2-3 <br /> WOfk Ofdef NO 2��2�99� PfOJBCt ACtiVlty TypB CORRECTIVE MAINTENANCE Sf8tU5 CL <br /> Status smzo�2 Time oeae Original WO __ Billing _ _ <br /> Customer Iniormation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No � 1 - Ext <br /> Second Phone � 1 - Ext -- <br /> E-Mail Address <br /> Problem Information <br /> ddress �gpy Street CHESTNUT ST <br /> From Cross Street <br /> To Cross Streel <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 Intormatlon <br /> Dept Priority Estimated Hours <br /> Crew <br /> Conlrector <br /> Assigned To <br /> Assigned By p � <br /> Assigned Date To Be Com Date � <br /> Scheduled Date Scheduled Time ___ <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75INCH CURBSTOP T0.761NCH SETTER WI METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ Huser.uNCe� Job Cost Information(Y/N) _ <br /> Start Date i � Time Date Completed tononott Permit No <br /> Completed By Time Foilow Up9 <br /> � <br />