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VVork Activity Work Jrder � <br /> ISSUEd By SJT2 SPOONER,JAIdFS i. � <br /> !ssued Department Pw PUBLIC WORKS <br /> Dzte Issued znvzo�s <br /> Fund ept Acro�n; 5 r ryra.r� R.ncho� ,;ct����t; <br /> Program UT3473 s a <br /> Tdle CONVERT 751NCH 2O07 NOVT AVE UT3.%.'��;-3 <br /> :'dork Order No 20'150458 Pro�ect Acuv�t; i;Fe cskF�;: ��i:r.•..: •,tn:.r.�:_ Stat�s c� <br /> Status zr�+i2oi5 Time i33a Original WO 6�II�nq <br /> Customcr Information <br /> Custom?r Name Custon-er ld <br /> P.ddress Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change �;1ap YM <br /> Fhone No � 1 - Ext <br /> Second Phone � � - Exl — <br /> E-�.1ail Address <br /> Problem Information <br /> Address ypp� S[reet HOY7AVE <br /> From Cross Street <br /> To Cros� Street <br /> C�ry ��� <br /> Subdivision t.iap E3ook P;tap Rc!crenc� <br /> Problem WA7ER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Ageney Related Request <br /> Initiated From <br /> UhLty Locate (USA) No Calied Date Expiration Dat� <br /> Assignment�nforma�ion <br /> DCCI Pnonh/ CSUme!ed H;�urti <br /> Crc:v <br /> CnNrar,�or <br /> Asc�.qned lb <br /> l,ss�9ned E3y <br /> Ass�gned Date ___ To De Comp Date __ I��;��; , <br /> Sc:heduled Date Scheduled Time ���I � '��� � <br /> flou;e Route Sequence <br /> Comments <br /> Aclion Taken CONVERT]S INCH CURBSTOP TO JS INCH SETTER WITH h1[T[R AN�BOX R.Ai TO LIETFR <br /> PROJECT. <br /> Recommended Aclion <br /> Aoproved By HLJ HUSBv, �nNCE� Job Costlnfermation(Y/N) <br /> Start Date i i Time Date Completed zizaizois Permit No <br /> Compieled �y - -- - Time Follow Upo - — — <br />