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Work Activity Work Order ��" <br /> - - _ - — _ _ _ - - --- - -- <br /> ISSUBd By SJT3 SPOONER,JAMES T. <br /> Issued Departmentpw PUBUC WORKS <br /> Date Issued yzuno�e <br /> Fund ao� Account S PrOgram Functi0n kct�v ty <br /> Program uraxn 6 a <br /> T�tle CONVERI 751NCN7632 COLBYAVEUT347J$3 <br /> Work Order No 20143525 Pro�ect AC1iVity Type CORRECTIVE 1.1AINTENANCE $lBiUS CL <br /> Status �uiz�zoia T�me �.�� OngnalV�'O Biilmg <br /> Customer Information <br /> Customer Name C�stcroer ld <br /> Address S,rec; <br /> Aparimenl No � �Y <br /> State Z�P <br /> Subd�vision Chan,e F,tap Yi�J <br /> Phone No ( ) • Ext <br /> Second Phane ( ) - Ext — <br /> E-Ma�l Address <br /> Problem Information <br /> Address 763Y Streel COLBYAVE <br /> From Cross Street <br /> To Cross Sheet <br /> C�ty Z'P <br /> Su6diwsion Map �ook Map Rc`r_rence <br /> Prob�em WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Dale Reques;ed <br /> Agency Related liequcst <br /> Ind�ated From <br /> Ut�l�ty Locate(USA) No Called Oate ExpiraLon Datc <br /> Assignment Information <br /> Dept Pr,c��ty Es' n,aka Heu, <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Ass:gned Date To Be Cnme� Uate � � ��;� �� y�� i =u I � <br /> Scheduied bate Scheduled 7�rne � <br /> Route Roule Sequence <br /> Comments <br /> Aclion Taken CONVERT 75 INCH CUPOSTOP TO JS INCH SETi[R WITH MLTLR AND DOY. FIAT TO UGTCft <br /> PROJECT. <br /> Recommended AcNon <br /> Approved By wDL wEavEH, urnti � Job Cost Inlormabon�Y;N� <br /> StaA Date i i T�me Date Completed vianots Perm t No <br /> Completed By Time Foilow Up� <br />