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Work Activity Work Order � - <br /> — - - - -- - - - - -- - - -- <br /> ISSUEd BY SJT2 SPOONER,JAMES T. <br /> Issued Department Pw pUBLIC WORKS <br /> Date Issued auzo�s <br /> Fund aot Account s Program Funct�on Act�vi.ry <br /> Program UT3473 5 s <br /> Title CONVEP.T]5 INCH 1522 HOYT AVE UT3473�5-3 <br /> Work Grder No 20150827 Project Activity?ype cn�aFrrivE ntniNrENANce Status c� <br /> Status an:zois Time o�z2 Original WO Billing <br /> Customer Inicrmatior� <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No CiN <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( � • Ext <br /> Second Phone ( � - Ext <br /> E-Mail Address <br /> Problem Informalion <br /> Address �gpy Slreel yDVT AVE <br /> From Cross Street <br /> To Cross Street <br /> City Z�p <br /> Subdivision Map Book R4ap Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Intliated From <br /> Utiliry Locate(USA) No Called Date Expiration Dale <br /> Assignment In(ormation <br /> Dept Prionty Estimated liours <br /> Crew <br /> Conlractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Eie Comp Date <br /> Scheduled Oate Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP T0.751N(;H SE'TER WITH METER AND ROX. FLAT TO 1�1ETER <br /> PROJECT. <br /> Recommended Action <br /> Approved By wo� wEnvek oG�N� Job Cost In(ormalion�YlN) <br /> Start Date � i Time Date Gompleted aivzois Permll Vo <br /> Compteted �y Time Follovi Up? <br />