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Work Activity Work Order <br />ISSUed By SJT2 SPOONER, JAMES T. <br />Issued DepartmentPw PUBLICWORKS <br />Date Issued aniio�s <br />Fund eo� Accounts Program <br />Program uTaa�a e a <br />TIfIE CONVERT J51NCH 2316 HOYT AVE UT3473-53 <br />Work Order No 20150876 Project <br />Status ersrzo�s Time �a5� OnginalWO <br />Function <br />Pagn 1 <br />sj�/zois i; :s <br />Activity <br />Activity Type CORRECTIVE MAINTENANCE S�8fU5 CL <br />Billing __ _ <br />Customer Information <br />Customer Name Customer ld <br />Address Street <br />Apartment No ��ty <br />State Z�P <br />Subdivision Change Map Y/N <br />Phone No ( 1 - Ext <br />Second Phone ( 1 • E# <br />E-h4ail Address <br />Problem Information <br />Address Y318 Street HOYTAVE <br />From Cross Streel <br />To Cross Street <br />City Zip <br />Subdivision Map Book Map Reference <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By Date Requested <br />Agency Related Request <br />Initiated From <br />Uhlity Locale (USA) No Called Date Expiration Date <br />Assignment Infortnation <br />Dept Prioriry Estimated Ncurs <br />Crew <br />Contracror <br />Assigned To <br />Assigned By <br />Assigned Date __._ To Be Comp Dale <br />Scheduled Date Scheduled Time <br />-!�� .� '�:: H�F }�i :. �� :i .�ci I�:, i{r. ~. <br />Route Route Sequence <br />Comments <br />Action Taken CONVERT .751NCH CURBSTOP T0.751NCH SETTER WITH METER AND BOX. FLAT TO METER <br />PROJECT. <br />Recommended Action <br />Approved By HLJ HUSBY, LANCE J <br />Start Date i i Time <br />Completed By <br />Job Cost Iniormation�YlN) <br />Date Completed aie�zo�s _ Permit No __ <br />Time Follow Up? <br />