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Work Activ�ty Work Order `'-�` - <br /> ;/i5/zc�� i3:oz <br /> ISSU2dB% �JT2 SPOONER,JAMEST. <br /> Issued Departmentaw PUBLICWORKS <br /> Date Issued �nsno�s <br /> Fund 401 Account s Program Function Activiry <br /> Program ursa�s s � <br /> Title CGNVER7 75 INCH 1106 HOYT AVE UT3473-5-3 <br /> Work Order No 20150736 PfOf2CI Activibj Type CORRECTIVE h7AINTENANCE $�a�US CL <br /> Status 3119R015 Time o5a3 _ Original WO ___ ____ Billing _ _ __ _ _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No ��h' <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 1106 S;reet HOYTAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Re(erence <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requesled <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority 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 CONVERT.75 INCH CURBSTOP TO.751NCH SETTER WITH h1ETER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By wo� W���ER,�EAN L Job Cost Information(Y/N) <br /> Start Date � i Time Date Completed ��zano�s _ __ Permit No_ <br /> Completed By Time Follow Up? <br />