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Work Activity Work Order Pa-� 1 <br /> 3/a/:o�s i3 :a <br /> -- --- - -- _ __ - --- ----- -- -- <br /> ISSUed BY SJT2 SPOOWER,JANiES T. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued 11126I2014 <br /> Fund qp� Account 5 Program Function Activity <br /> Program UT3473 a 3 <br /> Tdle CONVERT JS iNCH 1606 COLBV AVE UT1473b-3 <br /> Work Order No 20�434Z6 PfOjECf Activiry Type CORRECTNE tdAiNTENANCE StBtUS CL <br /> Status �vze�zoia Time �3az OriginaiWO Bdlin <br /> -- -- -- -9— <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�p <br /> Subd�vision Change Map Y/N <br /> Phone No ( 1 - Ext <br /> Second Phone ( 1 - Ext -- - --- <br /> E-Mail Address <br /> Problem Information <br /> Adaress 1606 Street COLBYAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Probiem OTHER OTHER <br /> Requesled By Date Requested <br /> Agency Related Request <br /> Inrtaled From <br /> Utdity Locate (USA)No Called Date Expiration Date <br /> Assignment Information <br /> Depl Prionty Estirnelcd 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 /> Camments <br /> Action Taken CONVERT.751NCH CURBSiOP T0.75 INCH SETTER WITH METER AND�OX.FLAi 70 METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By wo� W�veR,oenN�. Job Cost Information(Y/N) <br /> Start Dale r r Time Date Completed vzeno�s Permit No <br /> Completed By Time Follow Up^ <br />