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Work Activity Work Order �a;` ' <br /> a/15/zo,s i,:c-. <br /> ISSUEd BY SJT2 SPOONEP,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 3120I2075 <br /> Fund ao� Account g Program Funclion Activity <br /> Pfogfam UT3a73 5 3 <br /> Tiile CONVERT.5 INCH 1114 HOYT AVE UT3473-5-3 <br /> WO�k OfdOf NO 2015G742 PtOJBCf Activity Type CORRECTIVE hU11NTENANCE St8f�5 CL <br /> Status 3120/2015 Time o5:ao Original WO Billing <br /> Customer Ir�formation <br /> Customer Name Customer ld <br /> Address Street <br /> Apariment No City <br /> Sta[e Z�P <br /> S�bdivision Change N1ap Y/N <br /> Phone No ( 1 - Ext <br /> Secord Phone ( 1 • Ext —--- - <br /> E-Mail Address <br /> Problem Information <br /> Address ���q Street HOYTAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Referen.r,e <br /> Problem WATER WATER <br /> Sub Probiem OTHER OTHER <br /> Requested By Date Requesled <br /> Agency Related Request <br /> Iniliated From <br /> Ulility Locate (USA) No Called Date Expirafion Date <br /> Assignment Information <br /> Dept Priorty Es(imated Hours <br /> Crew <br /> Con!ractor <br /> As�igned To <br /> Assigned By <br /> Assigned Date To Be Comp Dale __ _ <br /> Scheduled Date Scheduied Time <br /> Rou,e Route Sequence <br /> Comments <br /> Action Taken CONVERT.5 INCH CURBSTOP TO.75 INCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By wo� �venvert,oenN� Job Cost Informalion(Y/PJ) <br /> Start Date i � Time Date Completed a�25no�s .__ __ Permit No _ _ <br /> Completed By Time Follow Up? <br />