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illiork Rctivity Work Order Pa9e 1 <br /> z�is�zois ii:ze <br /> Issued By SJT2 SPOONER,JAMES T. <br /> Issued Department Pw P�9LIC WORKS <br /> Rate Issued �2�e�zo�a <br /> Fund qoi Account 5 Program 7to Punction ��g Activity s7s <br /> Program <br /> Tltle CONVERT.751NCH 1217 HOYT AVE 710119675 <br /> WOfk�fd@f NO 20143489 PfOjECf AC1iVlfy TypB CORRECTIVE MAINTENANCE $t2tU5 CL <br /> Status u�sizoia Time os:2a 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 YIN <br /> Phone No ( ) • Ext <br /> Second Phone ( ) • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address ip�7 Street HOYTAVE <br /> From Cross Street <br /> To Cross 'Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem 'NATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate(USA) No Called Dale Expiration Date <br /> Assignment Information <br /> Dept Priority Eslimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time t ������ ���� <br /> �•e� <br /> Route Route Sequence <br /> Comments INVENTORY MATERIAL IN THE AMOUNT OF 5461.49 WAS <br /> JOURNALIZED IN 2014 <br /> Action Taken REPLACE.751NCH LURBSTOP WITH.751NCH SETTER,METER AND BOX.OWNER REQ. <br /> Fecommended Action <br /> Approv�d By yypL wEnvErt,oenN�. Job Cost Iniormation(YIN) <br /> Start Date i i Time Date Completed �u9izo�a Permit No <br /> Completed By Time Follow Up? <br />