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Work Activity Work Order Pa9e 1 <br /> 10/30/2012 13:14 <br /> ISSU@d By SJT4 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued �aie�2o�2 <br /> Fund aot Account 6 Program Function Activity <br /> Program uraa�a z � <br /> Title CONVERT 75INCH 7906 CHESTNUT ST UT3473•2J <br /> WOfk OfdCE NO 2��2Z30� PfOJeCt Activiry Type CORRECTIVE MAINTENANCE S�01U5 Cl <br /> Status �oisno�z Time �s�� OriginalWO Billing __ _ _ _ __ _ _ ___ <br /> Customer Iniormation <br /> Cusnmer 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 /> _ _ _ <br /> Second Phone 1 1 • Ext <br /> E-Mail Address <br /> — . <br /> Problem Information <br /> Address 1906 Street CHESTNUTST <br /> From Cross Street <br /> To Cross Street <br /> Ciry ZiP <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTMER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initialed From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Iniormation <br /> Dept Priority Estimated Hours <br /> C rew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned D3te To Be Comp Date <br /> Scheduled Dale Scheduled Time <br /> Roule Route Sequence <br /> Comments <br /> Actlon Taken CONVERT .751NCH CURBSTOP TO.751NCH SETTER WI METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ HUSBV. LANCE J JOb COSI If1(OfR10110�(Y/N) <br /> —.-_-_ - � ------ - - <br /> Start Date � i Time Date Compleled tontno�� _ __ Permit No <br /> Completed Dy Time Follow Up9 <br /> .� <br />