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Work Activity Work Order ''�=� ' <br /> 5%7/:t:15 15:23 <br /> _ _ ___ —_ —_ _ _—_- . _.. — _--_____ . ._.—__ — ._ _ — . _ _ <br /> ISSU2d BY SJT2 SPOONER,JAMES T. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued a�ano�s <br /> Fund aot Account 5 Program Function Actiwry <br /> Program UT3473 s a <br /> TIf10 CONVERT 751NCH 1724 HOYT AVE UT3473-5-3 <br /> WOfk OfdB� NO 20150849 f fOfeGl ACtivity Type CORRECTIVE PdAWTENANCE $I8fU5 CL <br /> Status anrzo�5 Time c633 Original WO 8illing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Streel <br /> Apartment No City <br /> Stale Z�P <br /> Subdivision Change Map Y/N <br /> Phane No � � • Ex; <br /> Second Phone 1 ) - Ext -- � - <br /> E-Mail Address <br /> Problem Information <br /> Address »ZQ Street HOYT AVE <br /> From Cross Street <br /> To_Cross Street <br /> City Zip <br /> Subdivision h4ap Book Map Re(erence <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Uafe Requested <br /> Agency Related Request <br /> Iniliatcd From <br /> Utility Locate i,USA) No Called Date Expiration Da e <br /> Assignment Information <br /> Dep� Pnority EsUmated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By �r <br /> Assia�c.; Uale To E�e Comp Date •.:•,'� '; l�:J C y 9'' <br /> � .-� '9�?!i.; �' <br /> S.:heduled Date Scheduled Tinie __ <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT )S INCH CURBSTOP T0.751NCH SETTER WITN MFTER AN�DOx. FLAT TO METER <br /> PP.OJECT. <br /> Recommended Action <br /> Approved By HLJ Hussv itiNce� Job Cost In`ormation(Y/N) <br /> Star? Date i � T�me Date Completed anrzo�s Permit No <br /> Cornpleted By Time Felloa, Up7 <br />