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Work Activity Work C7r�er "'"� ' <br /> .,�-, : �_� <br /> _ _ _ _ _- - — <br /> _ . <br /> ISSUCd BY SJT2 SPOONER,JAMES T. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued 31212015 <br /> Fund ao� Accounts Pragram FuncUan Actiwty <br /> Program uTaan 5 a <br /> Title CONVERT 751NCH121JHOYTAVEUT7473-5-3 <br /> WOfk OtdQ�NO 20150546 PfOJ2C1 Activity Type CORRECTNE tdAINTENANCE SIB�US CL <br /> Status 3�zizo�s Tlme �aza OnginalWO Billing _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartmenl No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( � • Ext <br /> Second Phone ( > • Ext -- <br /> E-Mail Address <br /> Problem Information <br /> Address 1Y13 Street HOYT AVE <br /> From Cross Street <br /> To Cross Street <br /> City ZiP <br /> Subdivision �vtap �cok Map Reference <br /> Problem WATER WATER <br /> Suo Problem OTHER OrHER <br /> ` Requested By Date Requested <br /> I Agency Related Request <br /> i Indiated From <br /> Utdity Locale (USA) No Called Dale Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor " <br /> ��i; <br /> nssigned To - �• �{''' <br /> ���7 : <br /> Assigned Dale ____ __ To Be Comp Dale _ __ � ��� 4�a9:E'a, <br /> Scheduled Date Scheduled Time ____ <br /> Route Route Sequence <br /> Commenls <br /> Action Taken CONVERI .75 INCH CURBSTOP TO.75 INCH SETTER WITH h1ETER AND 80X. FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ HUS6Y.U1NCE J Job Cost Information(YIN) <br /> Start Date � � Time Date Completed anrzots Permd No <br /> — ---- — --- <br /> Completed By Time Follow Up? <br />