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Work Activity Work Order °a5� ' <br /> ;/�__i�o�s iz:ss <br /> ------- — — — <br /> ISSU2d By SJT2 SPOONER,JAMES T. <br /> Issued Departmentaw PUBLICWORKS <br /> Date Issued 3izo�zo�s <br /> Fund ao� Account 5 Program Function Activity <br /> Program UT3473 s 3 <br /> Tifle GONVERT.5 INCH 1732 HOYT AVE UT3a73-5-3 <br /> Work Order No 20150746 PfOfBCt Activity Type CORRECTIVE MAINTENANC[ SiBfUS CL <br /> SI8tu5 3/202015 Tim2 06:47 O�iglfl8l WO __ _ _ Bllling _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No ��ty <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 - Ext <br /> Second Phone l 1 • Ext -- — <br /> E-Mail Address <br /> Probtem Information <br /> Address 113P Street HDYTAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTNER OTNER <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 Prioriry Eslimated Hours <br /> Crew <br /> CoNractor <br /> Assigned To <br /> Assigned E3y <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time _ _ _ <br /> Route Roule Sequence <br /> Comments <br /> Action Taken CONVERT.5 1NCH CURBSTOP T0.75 1NCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By wo� `N�nveH,oEnN�. Job Cost Information(Y/N) <br /> Start Date i i Time Dale Completed 3iz5�2o�s _ _ Permit No <br /> Completed By Time Follaw Up? <br />