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Work Activity Work Order �ag� 1 <br /> 3/a/2015 13: :5 <br /> ISSUEd BY SJT3 SPOONER,JAMES T. � � I <br /> Issued DepartmentPw PUBLICWORKS <br /> �ate Issced �v�6i2ota <br /> Fund ♦ot Account S Program functioh Actrvity <br /> Program UT307� 6 3 I <br /> Tdle coNVERT 75 iNCH t 512 COLBV AVE UTJ173-6-3 , <br /> WOfk OfdC�NO 20143427 PfOJOCt Activity Type CORRECTIVE MAiNTENANCE St0iU5 Cl �I <br /> Status _ _ __ i�2e�2oia Time iaaa OnginalWO__ _ Billing I <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No ��tY <br /> State Zip <br /> Subdwision Change Map Y/N <br /> Phone Na ( 1 - Ext � <br /> Second Phone � ) • Ezt --- -- -- <br /> E-Mad Address <br /> Problem Information <br /> Address �gi2 Street COLBYAVE <br /> From Cross Street <br /> To Cross Street <br /> Gty LP � <br /> Subdivision Map Book Map Reference I <br /> Problem WATER WATER i <br /> Su� Problem OTHER OTHER II <br /> Requested 8y Date Requested <br /> Agency Related Request <br /> Indiated From I <br /> Ut�l�ty Locate (USA) No Called Date Expiration Date , <br /> Assignment Information I <br /> Dept Prionty Estimated Hours I <br /> Crew <br /> Contrector <br /> Assigned To I <br /> Assigned By <br /> Ass�gned Date To Be Comp Date �� - . �, li <br /> ScheduledDate ____ ScheduledTime ___ _ ����'°�����,���, <br /> Roule Roule Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCfI CURBSTOP TO.I5 INCH SETTER WITH METER ANU BOX.FLAi TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ NUSBY,LANCE J JOb C051 If1IOfrt18GOf1(Y/N� <br /> Start Date i � Time Date Compieted veno�5 Permit No <br /> Completed By Time Follow Up7 <br />