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'rNork Activity Work Qrder `'=` ' <br /> ;/.�/zo�s �a:o; <br /> Issued By SJT2 SPOONER,JAMES T. <br /> Issued Department aw PUBIIC WORKS <br /> Date Issued 3119I2015 <br /> Fund aot Account s Program Function Activiry <br /> Program uTsa�s s s <br /> Title CONVERT.75 INCH 1030 HOYT AVE UT3573�5-3 <br /> WO�k Ofd2f NO 20150134 Pf0J2Ct Activity Type CORRECTIVE t�MINTENANCE SI8tU5 CL <br /> Status _ 3n9i2oi5 Time oa ao Original WO _ __ _Bi�!��g _ _ <br /> Customer Intormation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( 1 - Ext <br /> Second Phone ( 1 • Ext — - — ----- <br /> E-Mail Address <br /> Problem Information <br /> Address 7030 Slreet HOYT AVE <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 Dale Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Conlraclor <br /> Assfgned To <br /> Assigned By <br /> Assigned Date ___ To Be Comp Date _ <br /> Scheduled Dale Scheduled Time <br /> Route Roule Sequence <br /> Comments <br /> Action Taken CONVER7.i51NCH CUR�SIOP T0.751NCH SETfER WITH MET[R AND BOX. FLAT TO iv1ETER <br /> PROJFCT. <br /> Recommended Action <br /> Approved By HL� HUSBv,t,�race d Job Cost In(ormalion(Y/N) <br /> Start Date i i Time Date Ccmpleted anoi2o�e __ _ Permit No <br /> Completed 8y Time Follow Up? <br />