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Work Activity Work Order r°=-� ' <br />;�a�-,:� ,,: ;, <br />!S�UEd By SJT2 �..�-���---SPOONER,JAMEST. �--- �-- —� — — — �-� <br />Is;ued Department aw PUBLIC WORKS <br />Date Issued 3l6/2015 <br />Fund qoi Account s Program Function Activity <br />Program ur:a�3 5 � <br />Tlfle CONVERT.751NCH721HOYTAVEUT34'3-5-3 <br />WOfk �fdQf NO 20150613 PfOJ6CI Activity Type CORRECTIVE M1IAINTENANCE $1BtU5 CL <br />$iatUS _ 3i6.�2�15 _ TIfT1Q C6.37 _ �f191f181 N/(�1 _ _ Bllllfl9 _ __ ___ <br />Customer Information <br />Customer Name Customer ld <br />Address S��=et <br />Apartmen[ No C�N <br />State Zip <br />Subdivision Change Map Y/N <br />Phone No ( 1 - Ext <br />Second Phone ( ) - Ext --- ---- --- -- --- <br />E-Mail Ar' :ress <br />Problem Information <br />Address �y� Street yOYT AVE <br />From Cross Street <br />To Cross Street <br />City Zip <br />Subdrvison Map Book Map Reference <br />Problem WATER WATER <br />S�b Problem OTHER OTHER <br />Requested By Date Requested <br />Agency Reiated Request <br />Initiated From <br />Utility Locate (USA) No Called Date Expiration Date <br />Assignment Information <br />Dept Priority Estimated Hours <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date ___ To Be Comp Date <br />Scheduled Date Scheduled Time ' `'{ ' ''�'} � � U' � �_ '�`� �. ' <br />Route Route Sequence <br />Comments <br />Action Taken CONVERT.75INCH CURBSTOP TO .751NCH SETTER INITN IdETER AND BOX. FLAT TO METER <br />PROJECT. <br />Recommended Action <br />Approved By HW HUSBY, LANCE J. JOb COSI If1(OffilBtl0I1(Y/N) <br />StaR Date i i Time Date Compleled 3ntno�s Permit No <br />Comaleted By Time Follow Up? <br />