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Work Activity Work Order -��� ' <br /> ;/6/"':',:5 11 .C.-. <br /> '___ '—_— --_._—_ ___ ._._'_ ._ __—_—___ ---. '`_.— __. __--_ <br /> Issued By SJT2 SPOONER,JAMES T. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued apno�s <br /> Fund qp� Account s Program Function Activity <br /> Program UT3473 5 3 <br /> Tifl2 CONVERT]5 INCH 1105 HOYT AVE UT3n73�5-3 <br /> VVOfk�fd0f IVO 20150557 PfOfBCI Aciivity Type CORRECTIVE htlUNTENANCE $[21115 CL <br /> StBtUS __ 3132015 TifT10 0626 _ OfiyiflBl WO Bllli�g <br /> Customer Information <br /> Customer Vame Cuslomer ld <br /> Address Street <br /> Apartment No Ciry <br /> State Zip <br /> Subdivision Change Map YM <br /> Phone No 1 ) - Ext <br /> Second Phone c ) - E� ----- — — --- -- <br /> E-Mail Address <br /> Problem Information <br /> Addrzss 1105 Street ypyrqVE <br /> From Cross Street <br /> To Cross Street <br /> City Z;p <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problern OTHER OTHER <br /> ReGuesled By Date Requested <br /> Agency Related Requesl <br /> Initialed From <br /> Utility Locate (USA) No Cailed Date Expiration Date <br /> Assignment Information <br /> Dept Prionty Eshmated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> _ ='�:?�t.�:re r� a'e P_ ' '�' ii:� <br /> Scheduled Date Scheduled Time ��- •• <br /> Route Roule Sequence <br /> Comments <br /> Action Taken CONVERT.75 1NCH CURBSTOP T0.75 1NCH SETTFR WITH METER AN�BOX. FLAT TO METER <br /> PRUJEC7. <br /> Recommended Action <br /> Approved By H�� Husov vaNct� ,lob Cos! Informatfon(YIN) <br /> Start Date __i � _ _ Time _ Date Compi�ted ar�onots Permit No <br /> _ _-- - — _ _ <br /> Compleled By Time Follo,v Up? <br />