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� <br /> Work Activity VNork Order `'a'�° 1 <br /> :/°/20'_5 10:5� <br /> Issued By SJT2 SPOONER,JAMES T. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued 313/2015 <br /> Fund ao� Account s Program Function Activity <br /> Program UT3473 5 3 <br /> TillB CONVERT]51NCH 1017 HOYT AVE UT3473-5-3 <br /> Work Order No 20150562 PfOf2C� Activity Type CORRECTIVE IJIP.INTENANCE $l2IUS CL <br /> Status 3�32oi5 Time oe 3s Original WO _ _ Bi',!ing _ __ <br /> Customer Information <br /> Cuslomer Name Cuslomer ld <br /> Address Street <br /> Apartment No ��ty <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( l - Ext <br /> Second Phone ( ) • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address �p�7 Slreet HOYTAVE <br /> From Cross Slreet <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Prublem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> lnitiated From <br /> Ulility Locale(USA) No Called Date Expiration Date <br /> Assignment In(or�nation <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned ?o <br /> Assigned BY `'.) i,r<, ..;�r> >�,� , . <br /> Assig�ied Date ___ To Be Comp Date �• �' �..�Ja 't�i�'� �7,}, 'r��;`' !is <br /> Scheduled Date Scheduled Time __ <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCfi CURBSTOP TO.75 iNCH SET'ER WITH METER AND BOX.Fl1�T TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By wo� weAveR,o�n��. Job Cost Intormation(Y/N) <br /> Start Date � i Time Date Completed 316i2015 Permit No _ _ <br /> Completed By Time Follow Up? <br />