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Work Activity Work Order v�°° 1 <br /> iz/:3/zc:a ii -oe <br /> Issued By SJT2 SPOONER,JAR!ES T. <br /> Issued Department aw PUBLIC WORKS <br /> Datelssued t�nsnota <br /> Fund a01 Account 5 Program Func,ion Actiwty <br /> Program UT7a73 6 3 <br /> TttIC CONVERT.5 INCH 1322 CnLBY AVE UT3473-6•3 <br /> WOfk Ofd2f NO 20143437 PfOJ�Cf Activity Type CORRECTIVE MAMTENANCE Sl0fU5 CL <br /> Status u�z�izoia Tin�e ta.�E Original WO __ Billing _ _ ______ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subd�vision Chanqe Map Y/N <br /> Phone No ( 1 � Ext <br /> Second Phone ( 1 • Ext <br /> E-Mail Address ___ _ _ <br /> Problem Information <br /> Address �322 Street COLBYAVE <br /> From Cross Street <br /> To Cross Street <br /> City Z'P <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By D2te Requested <br /> Agency Related Request <br /> Initiated From <br /> Uhlity Locate(USA) No Called Date Expiration Date <br /> Assignment In(ormation <br /> Dept Priority Estimated Hours <br /> C rew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date ___ To Be Comp Date __ <br /> Scheduled Date Scheduled Time __ � � � � <br /> �.d�b:I�i t <br /> Roule Roule Sequence - :r �j/ j, <br /> Comments ��� �' �� A `�' <br /> Action Taken CONVERT.5 INCN CURBSTOP 10.75 INCH SETTER WITH METER AN�BOX.FLAT TO METER <br /> PROJECS. <br /> Recommended Action <br /> Approved By wo� W�+VER, oenN� Job Cost Information(Y/N) <br /> Start Oate � i Time Date Completed �z�eizota __ Permit No _ <br /> Completed By Time Follow Up? <br />