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Work Activity Work Order pa'` 1 <br /> i�i9izo:z ��:zz <br /> ISSUCd By SJT4� SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued �ore�saiz <br /> Fund �ot Account s Program Function Activiry <br /> Program UT3173 � � <br /> Title CONVERT i 5 1NCH 1910 CHESTNUT ST UTJ473-2J <br /> WOfk OfdOf NO 20122303 PfOJOCf Activity Type CORRECTIVE MAINTENANCE StBlUS PR <br /> Status ioieno�z Time ts se Originat WO _ _ _______Billing ___ ________ __ <br /> Customer Information Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment No City <br /> State Z�p <br /> Subdivision Change Map Y/N <br /> Phone No c > • Ext ____ ____ <br /> Second Phone ( I - Ext <br /> E-Mail Address _ ----- <br /> Problem InformaUon <br /> Ad�ress �g�p Street CHESTNUT ST <br /> From Cross Street <br /> To Cross Street <br /> City ZiP <br /> Subdivision Map �ook Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Asslgnment Informatlon <br /> Dept Prioriry Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By To Be Comp Date <br /> Assigned Date ---- <br /> Scheduled Date _ Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT i51NCH CURBSTOP T0.751NCH SETTER WI METER AND BO%.FLAT TO METER <br /> PROJECT. ,/1�nfuKM��Ff We �� W -fyAG- <br /> Recommended Actfon <br /> Approved By Job Cost Information(YIN)__ __ <br /> Start Date i i Time Date Completed lu���_�Z__ Permit No <br /> Completed By Time Follow Up? <br /> �'��s�tivN <br /> a <br />