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Vilork Activity Vliork Order <br />- -- --- — ----- -- —_ _- --- <br />ISSU2d BY SJT2 SPOONER,JAMEST. <br />Issued Departmentaw PUBLICWORKS <br />Date Issued anvzo�s <br />Fund a�� Accaunt s Program <br />Program UT34iJ 5 a <br />TiUQ CONVERT ]5 INCH 624 HOY! AVE UT34i 3-5-3 <br />Worlc Order No 20150653 Project <br />Status 3r>>�Zois Time oe 35 Original WO <br />:,,;.. ; <br />a��/:n:; _._- <br />F�nction Activity <br />Activiry Type CORRECTIVE MAINTENANCE Sf2tU5 CL <br />Billing <br />Customer Information <br />Customer Name Cus:omer ld <br />Address Street <br />Apartment No City <br />State Zip <br />Subdivision Chanc+e Map Y/N <br />Phone No ( ) - Ext <br />Second Phone ( ) • Ext — -- -- <br />E-Mail Address <br />Prublem Information <br />Address 6P4 Street yOYT AVE <br />From Cross Street <br />To Cross Street <br />City Zip <br />Subdivision Map Book P,tap Reference <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By Date Reyuested <br />Agency Related Request <br />Initiated From <br />Ulility Locate (USA) No 'a!led Date Ezpiration Date <br />Assignment Information <br />Dept Priority Estimated Hours <br />Crew <br />Contrac�or <br />Assigned Te <br />Assigned By <br />Assi�ned Date io De Comp Date ,'1 � •� `; r; r <br />� 4. ,��;,' 1 L.� �i :�r <br />Scheduled Date Scheduied Time ' " <br />Route Route Sequence <br />Comments <br />Action Taken CONVERT .75 INCH CURBSTOP T0 751NCH SETTER WITH h1ETER AND BOX. FLAT TO METER <br />PRUJECT. <br />Recommended Action <br />Approved By HW Husar, �nnrrce �. Job Cost Information(Y/N) <br />Start Date � � Time Date Completed aneiza�s__ Permit No <br />Completed By Time Follow Up? <br />� <br />, ,s <br />i �f� <br />. . . ._ .':�i:;� <br />'Fs;i ^. , '� `; '-'.��? <br />��, <br />_.,�� :,_�_ , , <br />�. <br />�w N . - � '`; Y".;•� <br />rM.�,.� �.w . .. <br />