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Work Activity Work Order �ag� 1 <br /> s/a/zois e:za <br /> Issued By SJT2 SPOONER,JAMES T. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued 411112 0 1 5 <br /> Fund aot Accounl s Program Function Actiwty <br /> Program UT3473 5 a <br /> TIIIC CONVERT.751NCH 1701 COLBY AVE UT3473•5•3 <br /> Work Order No Z��5�948 PfOJOCf Activity Type CORRECTIVE MAINTENANCE Sl8tU5 CL <br /> Status_ _anano�s_ _ Time ts �s Origlnal WO __ _ _ Billing _ _ <br /> Customer Information <br /> Customer Name Cuslomer ld <br /> Address Street <br /> Apartment No Ciry <br /> State Z�p <br /> Subdivision Change Map Y/N <br /> Phone No l 1 - Ext <br /> Second Phone ( l • Ext -- - — <br /> E-Mail Address <br /> Problem Information <br /> Address y701 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 Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Prionly Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date ______ _. To Be Comp Date ,. • ; ;,� . . <br /> ScheduledDale ScheduledTime � �.� �"v`����`�f'!i:�,,;�i''�pl <br /> 5.., . <br /> Route Route Sequence <br /> Comments <br /> Action Taken �ONVERT.75 INCH CURBSTOP TO.751NCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By „�� HUSev, u�NCE�. Job Cost Information(Y/N) <br /> Start Date � � Time Date Completed ansno�s Permit No <br /> Completed By Time Follow Up? <br />