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Work Activity VJork Order _ - _ �. <br /> _ �.� _� _ <br /> - -- --- — _ — <br /> ISSU2d BY SJT2 SPOONER,JAMES T. <br /> Issued DepartmentPw PUBLICWORKS <br /> Oate Issued aaizo�s <br /> Fund eo� Account s Program Function Activity <br /> Progrem utaan 5 3 <br /> Tifl2 CONVERT]51NCH 1914 HOYT AVE UT3473�5-3 <br /> Wcrk Order No 20150857 PfOJBCt Actrvity Type GORRECTIVE 1v1AWTENPNCE $tr!IUS CL <br /> S:atus <r+�zo,s Time oe ae Original WO Bi'ling _ _ _ _ ___ __ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Slreet <br /> Apartment No City <br /> Stale Z�P <br /> Subdiws�on Change Map Y/N <br /> Phone No 1 ) - E�R <br /> Second Phone 1 ) - E�R — — - <br /> E-Mail Address <br /> -- -- - - -- _ _ <br /> Problem Information <br /> Address rg�q Street HOYT AVE <br /> From Cross Slreel <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book �Aap Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Relaled Request <br /> Initiated From <br /> UU6ty Locate (USA) No Called Date Expiration Da!e <br /> Assignment Information <br /> Dept Pnority EsGmated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date ___ To de Cemp Date �_:,) '{ J " " ' "'! - <br /> ��L��.�L'' � i�_ :�?,�:)^� r;:� <br /> Scheduled Date Scheduled T�me <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75INCH CUR65TOP TO.75 INCH SETTER WITH h1ETER AND 80%.FIAT TO�JETER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ HUSOY, LANCE J Job Cost Information(Y/N) <br /> Start Date � � Time Date Completed qisno�s Permit No <br /> Completed By Time Follo�v Up� <br />