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i <br /> I <br /> Work Activity Work Order Page 1 <br /> 12/11/2012 10:�3 <br /> . _. __ .____ __ . .__.___ _.___. _ <br /> ISSUBd By SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued �air.�so�2 <br /> Fund aot Account 5 Program Function Activity <br /> Program uTaaa z a <br /> TIiIB CONVERT.75 INCH 242�CHESTNUT ST UTJ473-2•3 <br /> Work Order No 20122399 Pf0�2Cf Activiry Type CORRECTIVE MAINTENANCE SfBIUS CL <br /> Status iona�zo�z Time t3a� Original WO Billin ___ _ ___ <br /> _ ----_ _ _ 9 _ <br /> Customer Intormation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No ��ry <br /> State Z�p <br /> Subdivision Change Map Y/N <br /> Phone No f 1 • Ext _ _ <br /> Second Phone ( ) - Ext <br /> E-Mail Address _ <br /> Problem Information <br /> d ress Y4P3 Stre CHESTNUT ST <br /> From Cross Street <br /> To Cross Street <br /> City Z�p <br /> Subdivision Map Book Map Reference <br /> Probl m WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Iniormation <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Actlon Taken CONVERT.75�NCH CURBSTOP TO.761NCH SETTER WI ME7ER AND BO%.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ HUSBV,LANCE J JOb COSI If1(OfR18NOf1(YIN) <br /> Start Date i � Time Date Completed to�s��2otz _ Permit No ___ <br /> Completed By Time Follow Up4 <br /> i <br />