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Wor�: Activity Work Order ��'3° '` <br /> a�•-slzo,s �z:s�; <br /> ISSU2d 9y SJT2 SPOONER,JA�dEST. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued 3120I2015 <br /> Fund aa� Account s Progrem Funct�on Activiry <br /> Program UT3473 s a <br /> Title CONVFRT.SINCH1126HOYTAVEUT3473•5-3 <br /> Work Order No 20150745 PfOJ2Cl Activiry Type CORRECTIVE h7AINTEIJANCE $�afUS CL <br /> Status 3rzonois Time ce as Original VJO _ _ Billing __ _ _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Slreet <br /> Apartment No Ciry <br /> State ZiP <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( l - Ext — - --- — - - -- <br /> E-Mail Address <br /> Problem Information <br /> Address »yg Street yOYT AVE <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 OTNER <br /> Requestzd By Date Requested <br /> Agency Related Requesl <br /> Initiated From <br /> Utility Locate(USA) No Called Date Expiration Dale <br /> Assignment Informat:on <br /> p,,p� Priority Estimated Hours <br /> Crew <br /> Conlractor <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 Teken CONVERT.51NCH CURBSTOP TO 751NCH SETTER WITH METER AN�BOX.FLAT T(7 METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By wo� WEAVER,DEAN L Job Cost Inforrr�ation(Y/N) <br /> Start Date � � Time Dale Completed 3ils�zots ._ __ Permit No <br /> Completed By Time Follow Up? <br />