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Work Ac�ivity Work drder `==- <br />�,,�,-:_- ._ .. <br />_- -- — -- - -- --- - <br />--- -_ <br />ISSU2G'BY � SJT2 SPOONER,JA�dEST, <br />Issued Departmentrw PUBLICWORKS <br />Date Issued �ncizo�s <br />Fund aot Account s Program Funcbon Activiry <br />Program UT3473 s a <br />Title CONVEF i i5 INCH 902 HOYT AVE UT3473-5-3 <br />Work Order No 20150681 Project Activity Type CORRECTIVE IdAINTE`JANCE Status c� <br />Siah�s 3i�e�zo,s Time os e� Original N10 Billing <br />Customer Information <br />Customer Name Cust�mer ld <br />Address Street <br />Apartment No City <br />State Zp <br />Suhdivision Change Map Y/N <br />Phone No ( > - Ext <br />Second Phone ( � - Ext <br />E-Mail Address <br />Problem Information <br />Address 902 Sireet HOYT AVE <br />From Cross Street <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 Requesfed <br />Agency Related Request <br />Initiated From <br />Utility Locate (USA) No Called Date Expiration Da;e <br />Assignment Information <br />Depl Priorily Fstimated Hours <br />Crew <br />Contractor <br />Assigned To <br />�ssigned Dy <br />Assigned Date To Be Comp Date <br />-- -- _ <br />Scheduled Date Scheduled Time <br />Route Roule Sequence <br />Comments <br />Action Taken CONVERT.75 INCH CURBSTOP TO .75INCH SE7TER WITH METER AND BOX. FLAT TO M1IETER <br />PROJECT. <br />Recommended Action <br />Approved By HLJ HUSBY,LANCEJ. <br />Slart Date � � Time <br />Comple:ed 9y — -- <br />Job Cost Information(1'/P�) <br />Date Completed 3n5izots _.__ _ Permil No __ <br />Time Follov� Up? <br />�kra�;..a�:dc.. � <br />