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Work Activity Work Order �'3� ' <br />n/�5/�ois i3:io <br />ISSU2d By SJT2 SPOONER, JAMES T. <br />Issued Deparlmentaw PUBLICWORKS <br />Date Issued 311 612 01 5 <br />Fund ao� Accoun[; Program Function Activity <br />Pronram uraa�? s 3 <br />TIll2 CONVERT 751NCH 910 HOYT AVE UT3473-SJ <br />Work Order !Ja 20150683 PfOJeC1 Activity Type CORRECTIVE MAINTENANCE <br />Status _ __ 3n6izo�5 Time o0 53 Original WO _____ Billing ____ <br />Customer Information <br />Customer Name Customer ld <br />Address Street <br />Apartment No City <br />State Zip <br />Subdivision Change Map Y/N <br />Phone No � � - Ext <br />Second Phone ( l - Ext <br />E-Mail Address <br />Prublem Information <br />Address g�p Street HpyrqVE <br />From Cross Street <br />To Cross Street <br />City Zip <br />Subdivision Map Book Map Reference <br />Problem WATER WATER <br />Sub Problem 07HER OTHER <br />Requested By Date Requested <br />Agency Related Request <br />Irntiated From <br />Utility Locate (USA) No Called Date Expiration Da1e <br />Assignment Information <br />Dept Priority Eslimated Hours <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date _ To Be Comp Date ___ <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken CONVERT .751NCH CURBSTOP T0.751NCH SETTER WITH METER AND BOX. FLAT TO METER <br />PROJEC7. <br />Recommended Actio� <br />Approved By HLJ HUSBY,LANCEJ. <br />Start Date � i Time <br />Completed By <br />Y <br />M- <br />SIBfUS CL <br />Job Cost Information(Y/N) <br />Date Completed 3noizo�s __ Permit No __ <br />Time Follow Up? <br />��� <br />