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Work Activity Work Order Page � <br /> ��15�2015 11:50 <br /> ISSU@d By SJT2 SPOOMER,JAMES T. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued 77/912010 <br /> Fund eot Account 5 Program »a Function tts Activity e�s <br /> Program <br /> Titie CONVERT.75 INCH 2403 EVERETT AVE 710119675 <br /> Work Order No 20143490 Pf0)BC► Activiw Type CORRECTIVE MAINTFNANCE SlB�US CL <br /> Status �zieizo�a Time io:os Original W� Billing <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 ( l • Ext <br /> Second Phone ( 1 - Ext — <br /> E-Mail Address <br /> Problem Informatlon <br /> Address 2403 Street EVERETTAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> �roblem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utiliry Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assignzd To <br /> Assigned By <br /> Assigned Date To Be Comp Date (�p C R O R o L��g�; <br /> Scheduled Date Scheduled Time <br /> Roule Route Sequence <br /> Comments <br /> Action Taken REPLACE.75 INCH CURB5TOP WITH.75 INCH SETTER,METER AND BOX.OWNER REQ. <br /> Recommended Action <br /> Approved By SJT2 SPOONER,JAMES T. JOb C051 I�fOffT181i0f1(YlN) <br /> Start Date � i Time Date Completed �y3ono�a Permit No <br /> Completed By Time Follow Up? <br />