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Work Activity Work Order Ya"" ' <br /> 5/8/2015 8: 18 <br /> 155Ued By SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued a�urzo�s <br /> Fund ant Account s Program Function Activiry <br /> Program UT3177 a a <br /> TItIB CONVERT 75 INCM 1621 COLBY AVE UT3473•5•3 <br /> WOfk OfdOf NO ZO'ISO9SO PfOjQC1 Activiry Type CORRECTIVE IdAINTEN�NCE Sf8IU5 CL <br /> Status anai2o�5 Time +s z3 Onginai WO _ Bdling <br /> Customer Infortnation � <br /> Customer Name Customer ld <br /> Address S[reet <br /> Apartment No City <br /> State ZiP <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 - Ext <br /> Second i +ione ( ) - Ext -" - <br /> E-Mail Address <br /> _ _ - - - <br /> Problem Iniormation <br /> Address �gy� Street COLBYAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Re(erence <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Indiated From <br /> Utility Locate (USA) No Called Dale Expiration Date <br /> Assignment Information <br /> Depl Prioriry Estlmated Hours <br /> Crew <br /> Conlractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date _ To Be Comp Date _ _ ,ti.����F"�j����� ��]� fj� <br /> Scheduled Date Scheduled Time _____ <br /> Route Roule Sequence <br /> Comments <br /> Action Taken CONVERT.75 INGH CURBSTOP TO .751NCH SETTER WITH METER AND BOX. FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved E3y wo� WEAVEP.,DEAN L. JOb COSI II1�Of1112t10f1(Y/N� <br /> Start Date i � Time Date Completed an5rto�5 _ __ Permit No _ <br /> Compleled By Time Follow Up7 <br />