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V11ork Activity Work Order '°'�` ' <br /> ,/':s/'_o�s r_:sa <br /> ISSU2d By SJT2 SPOONER,JAMES T. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued anonou <br /> Fund aot Account 5 Program Function Activity <br /> Program UT3473 s a <br /> T111C CONVERT.5 INCH 1216 HOVT AVE UT3473�5-3 <br /> Work Order No 20150751 Projec! Activity Type CORRECTIVE MAINTENANCE $l2fUS CL <br /> Status _ 3izorzo�s Time i52o _ Original WO _ _ Billing __ __ _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State ZiP <br /> Subdivision Change Map Y/N <br /> Phone No c 1 - Ext <br /> Second Phone ( 1 - Ext <br /> E•Mail Address <br /> Problem Intormation <br /> Address 1Y16 Street NDYTAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Re`erence <br /> Problem WATER WATER <br /> Sub Probiem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Uli6ty Locate (USA) No Cailed Dale Expiretion Date <br /> Assignment Information <br /> Dept Prioriry Estimated Hours <br /> C rew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Oale To Be Comp Date <br /> Scheduled Dale Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.S INCH CURBSTOP TO,751NCH 5[TTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By wo� �v�,veR,oenN� Job Cost Information(Y/N) <br /> _ — _ _ --- - -- - - <br /> Start Date � � Time Date Completed ansizo�s Permil Ne _ <br /> Completed By Time Follow Up? <br />