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2ago 1 <br /> Work Activity Work Order 1�,,,�olz ;,:,6 <br /> -- --- ----- <br /> ISSUEd By SJT2 SPOONER,JAMES T. <br /> Issued Department vw PUBLIC WORKS <br /> Date Issued 1DI912012 Pro ram Function Activiry <br /> Fund aot Accounts 9 <br /> Program uraaa s � <br /> Title CONVERT.75 INCH 2O22 CHESTNUT ST UT3473-2-3 <br /> WOfk Ofd2f NO Z��Z23�� PfOJeCt Activity Type CORRECTIVE MAINTENANCE St81U5 PR <br /> Status tois�2o�z Time t7aa OriginalWO _ _ _______ Billing _ __.____ _.___-- <br /> Customer Information Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment No ��ry <br /> State Z�p <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 - Ext ____— <br /> Second Phone ( 1 - Ext <br /> E-Mail Address --- — -- – <br /> Problem Iniormation <br /> Address yppy Street CHESTNUT S7 ' <br /> From Cross Street <br /> To Cross Street Zip <br /> City Map Book Map Reference <br /> Subdivision <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated From Ex iretion Date <br /> Utility Locate(USA) No Called Date P <br /> Assignment Informatlon Priority Estimated Hours <br /> Dept <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By To �e Comp Date <br /> Assigned Date <br /> Scheduled Date Scheduled Time ___ __ <br /> Route Route Sequence <br /> Camments <br /> Actlon Taken CONVERT.76 INCH CURBSTOP TO.751NCH SETTER WI METER AND BOX.FLAT TO METER <br /> PROJECT. �rGS✓rLM�1ES CvY Uil �'TJ 'f y1��. <br /> Rocommended Actlon <br /> Job Cost Information(YIN) <br /> Approved By permit No <br /> Start Date i � Time Date Completed 10 i IJL_ <br /> Completed By F�`S�ywy <br /> Time Follow Up7 <br />