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Work Activity Work 4rder Pa9e 1 <br /> ;i��i:a�5 d:35 <br /> ISSUEd By SJT2 SPOONER,JAMES T. <br /> Issued Departmentaw PUBLI" WORKS <br /> Date Issued a�vzais <br /> Fund aoi Account 5 Program »o Function »y Activity s�s <br /> Program <br /> TiIIC CONVERT 75 1NCH 7819 W GLEN DR 7107196765 <br /> V�IO�k OfdOf NO 20150554 Project ACfIViIy Typ2 CORRECTIVE MAINTENANCE Stef�S CL <br /> Status 3/212015 TIRIE 1543 Of191f181 WO Bdling <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No 1 ) • Ext <br /> Second Phone ( 1 • Ext -- — <br /> E-Mail Address <br /> Problem Iniormation <br /> Address �g�g Street yyGLENDR <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 /> Initialed From <br /> Utifity Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Prionty Estimated 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 /> Comments <br /> Action Taken REPLACE.751NCH CURBSTOP WITH.75 INCH SETTER,METER AND BOX.OWNER REO. <br /> Recommended Action <br /> Approved 8y wo� wEnveR, oenN �. Job Cost Information(Y/N) <br /> Start Date � r Time Date Completed 3I212015 Permit No <br /> Campleted By Time Follow Up? <br />