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lNork Acfivity Work Order <br /> ISSUBd By SJT2 SPOONER,JA�dFS T. <br /> Issued Department aw PUBLIC WORHS <br /> Date Issued aivzois <br /> Fund ao� Accounl5 Froaram Funct�on P.ctin,y <br /> Program UT347J s a <br /> Titie CONVERT 51NCH 1516 HOYT AVE UT347?-= ; <br /> VJork Order No Z��50825 Pro�ect ACliViiy' Ty�A CGHRECTiVE MAINTENANCE $12fUS CL <br /> StaWs eri�zc�s Time ori5 Original WO 6�n�ng <br /> Customer Information <br /> Customzr Name Cusrom�r IG <br /> Address Street <br /> Apartmeni No City <br /> State Zip <br /> Subdroision Change tctap Y/N <br /> Phane No � ) - Ext <br /> Second Phone 1 ) • Ext — <br /> E-h4ail Address <br /> Problem Information <br /> Address 15�6 Street HOYT AVE <br /> From Cross Strzet <br /> To Cros, Street <br /> City Zip <br /> Subdivision L4ap �ook Mao Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Irnf�ated From <br /> Utihty Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dep; Priority Eshmated Hours <br /> Crea: <br /> Contractor <br /> Assigned lo <br /> Assigned By <br /> Assiqned Date 1 o Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequcnce <br /> Comments <br /> Action Taken CONVERT S INCH CUR�STOP TO.751NCH SFTTER WITH M[T�.R ANO BOX.FI.AT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By wp� �•�E�vert oenr�� Joh Cosl Informa6on�Y,N) <br /> Start Date i i Tlme Dat�Completed anizo�s Perrmt No <br /> Completed B5 T�me Folloa Up? <br />