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Work Activity Work Order ��g� ' <br /> ,�a�zois �i:�s <br /> - -- - — -- - - - <br /> ISSU2d BY SJT2 SPOONER,JAMES T. � <br /> Issued DepartmentPw PUDLICVlORKS <br /> Date Issued 317/2015 <br /> Fund ya� Accaunt 5 Progrem Function Aclivity <br /> Program UTJ473 5 3 <br /> TIll2 CONVERT.751NCH 1127 HOYTAVE UT3473�5�3 <br /> Work Order No 20150552 PfOJEC( Activity Type CORP.ECTIVE h1AINTENANCE $t8fU5 CL <br /> Status s�vzo�s Time is2o Original WO 8illing <br /> Customer In(ormation <br /> Customer Name Customer ld <br /> Address Slreet <br /> Apa��tment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No t ) • Ext <br /> Second Phone ( ) • E� ---- - -- — — <br /> E-Mail Address <br /> Problem Information <br /> — - — - - _ ---- ------- <br /> Address ��p� Street yOYTAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision M�p Book Map Reierence <br /> Problem WATER WA7ER <br /> Sub Prablem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utiliry Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contraclor <br /> Assigned To <br /> Assigned By <br /> Assigned Dale _ To Be Comp Date _ � . p <br /> _ _-_ . ;�",� ; �.��i'� '��L`�' � Y�.,. �� '°;��. <br /> Scheduled Date Scheduled Time � � <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.15 INCH CURBSTOP TO.75 INCH SETTER WITH METER AND BOX.FLAT 70 METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ Husev, �4Nce� Job Cost Information(Y/N) <br /> Start Dale � � Time Date Completed aienots Permit No <br /> Campleted By Tirr,=. Foliow Up? <br />