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Work 4ctivity Work OrdAr <br />;;.,;; �.5 :�:, <br />ISSUE'd B% SJT2 SPJONER, JAMES T. <br />Issued Department aw PUBLIC WORKS <br />Da�e Issued ar�vzats <br />Fund aot Account s Program Function Act�viry <br />Pro�iam UT3473 s a <br />TitIE CONVERT .751NCH 609 HOYT AVE UT3473-5-3 <br />Wark Order No 20150649 PfOJ2C1 Activiry Type CORRECTIVE MA�NTE^14NCE <br />Status 3�nizots Time cen Original WO ____ __ Bil!ing_ _ <br />Customer Information <br />Customer Name Customer ld <br />Address Street <br />Apartment No Ciry <br />State Z�P <br />Subdivision Cha�ce Map Y/N <br />Phone Na I ) - Ext <br />Second Phone � ) - Ext —" -- -- — <br />E-Mail Address <br />Problem Information <br />Adaress gpg Slreet HOYTAVE <br />From Cross Street <br />To Cross Street <br />Ciry zip <br />Subdivision Map Book Map Reference <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By Dale Requested <br />Agency Related Request <br />Indiated From <br />Ulility Locate (USA) No Called Date [xpiration Date <br />Assignment Intormation <br />Dep� Priority Estirnated Hours <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date To Be Comp Dafe , „, „ <br />�; ,� : ::; �f�^ ;��'; ;j`� � if, >r,�.I : � ' i,i <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken CONVERT .75 INCH CURBSTOP TO .751NCH SETTER WITH METER AND BOX. FLl:T TO METER <br />PROJECT. <br />Recommended Action <br />P,pproved By HLJ HUSBY, IANCE J. <br />Start Date � i Time <br />Completed By <br />Job Cost Information(YiN) <br />Date Completed anvzote _ <br />Time Foltow Up? <br />S�a�115 CL <br />nit No <br />0 <br />