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Work Activity Work Order Pege 1 <br /> 12�11�2�12 1�:1� <br /> _ .. _ . ..__— ___- <br /> ISSUBd By � SJ74 � SPOONER,JAMES T. <br /> Issued Department rw PUBLIC WORKS <br /> Datelssued �onsno�s <br /> Fund eot Account s Program Function Activity <br /> Program UTJ47J s � <br /> Title CONVERT.75 INCH 2606 CHESTNUT ST UT3473-2•3 <br /> Work Order No 20122352 PfOJCCI Activity Type CORRECTIVE MAINTENANCE S�8�115 CL <br /> Status ionsi2o�z Time �ri3 Original W0 Billing _ _ <br /> _ ___ <br /> Customer Information <br /> Customer Name Cusromer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 - Ext _ _ <br /> Second Phone c 1 - Ext <br /> _ – -- <br /> E-Mail Address <br /> — . _ _ _ <br /> Problem Informatlon <br /> ddr ss 2606 Stree CHESTNUT ST <br /> From Cross Street <br /> To Cross Street <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 /> Utiliy Locate(USA) No Called Date Expiration Date <br /> Ass ignment Information <br /> Dept Prioriry 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 /> Action Taken CONVERT .76 INCH CIIRBSTOP TO.76 INCH SETTER WI METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HW HUSBV, LANCE J JOb COSI If1�OfIT18IlOf1(YIN) _ <br /> Start Date i � Time Date Com leted toizysotz Permit No <br /> P --- _ _... _ -- -- - <br /> Completed By Time Follow Up7 <br /> � <br />