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Work Activity Work Order <br />IssuedBy SJT2 SPOONER,JAMEST. <br />Issued Departmentaw PUBLICWORKS <br />Date Issued 3neizots <br />Fund ao� Accounts Program <br />Program UT3473 5 s <br />Title CONVERT ]5 INCH 914 HOYT AVE UT3473-53 <br />Work Order No 20150717 Project <br />Status 3118/2015 Time oe:se Original WO <br />Funclion <br />��,� � <br />5/9/2015 8:43 <br />Activiry <br />ACtiVity Type CORRECTIVE MAINTENANCE SIBtUS CL <br />BII� �a <br />Customer Information <br />Customer Name Customer 'r� <br />Address Street <br />Apartment No City <br />State ZiP <br />Subdivision Change Map Y,�N <br />Phone No ( ) - Ext <br />Second Phone c ) - Ext -- <br />E-Mail Address <br />—_ _. _ _ ___ <br />Problem In(ormation <br />Address g�¢ Street 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 Requested <br />Agency Related Request <br />INtiated From <br />Utility Locate (USA) No Called Date Expiration �afe <br />Assignment Information <br />Dept Priority Estimaled Hcurs <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date _ _ To Be Comp Date ,.,',� S�''_,�';� ; i_ ;'.:I `_� �r <br />Scheduled Dale Scheduled Time __ <br />Route Route Sequence <br />Comments <br />Action Taken CONVERT.751NCH Cl'"iBSTOP TO.751NCH SETTER WIiH �dFl cR ANO 80X. FLAT TO METER <br />PROJECT. <br />Recommended Action <br />Approved By HLJ HUSBY, LANCE J. <br />Start Date i i Time <br />Completed By <br />Job Costlnformation(Y/N) <br />Date Completed 311 912 0 7 5 Permit No <br />Time Follow Up7 <br />f�������� `�1{��:Y'����''�`�����a'�trC.�.�;�`�.`_+S <br />