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Work Activity Work Order � = ' <br /> _ .. . - , <br /> ISsuPd BJ SJT2 SPOONFR,JA�dES T. <br /> I';�uEd D2p8RfT�enf PW PUBLIC WORKS <br /> f'a!e Issued zizlizo�s <br /> I _.rd 401 Account 5 Prcgram Function Pr_tivity <br /> "��f2fi1 UT347J 5 ] <br /> . i, CONVF:RT 75�NCH 1531 HOYT AV[ UT3J7}5-3 <br /> �: �.rk Order No 20150519 Pro�ect Act�v�ty Type coRRecnvE ratiw-eNnNce Stat�s c� <br /> �taWs 22��zo�5 Time o5a3 Onginal WO Bilhng <br /> Customcr Intormation <br /> Customer Name Customer ld <br /> Address Slreet <br /> Apartment No City <br /> State Z�p <br /> Subdiwsion Cnange Map Y,�N <br /> Phone No � ! Ext <br /> Second Phone � � � Ext - <br /> 6Mad Address <br /> Problem Information <br /> Address 143� Street HOYTAVE <br /> Frorn Cross Street <br /> To Cross Slreet <br /> City Z�P <br /> Subdiwsion Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OrHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Indiated From <br /> Ul�l�ty Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Pnonty Esbmaledllours <br /> C re�v <br /> Contractor <br /> Assigned To <br /> Assigned Eiy it� '% S;���r 1 t�- '��°9 qj', <br /> Assigned Date To Be Comp Date 4 � <br /> Scheduied Date Scheduled Time <br /> Roule Roule Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CUFBSfOP 70.751NCH SETT[R WITH h1ETER ANO DOX FLAT TO �dEiER <br /> PROJECT. <br /> Recammended Acfion <br /> Approved By H�� r+usev inNCE � Job Cost In(armahon(Y,'N1 <br /> Start Date i i Time L�ate Completed a�vzo�s__ Pennit No <br /> Completed By Time Follow Up� <br />