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Work Activity VVork Order page ' <br /> e��o�zoi5 i� :�= <br /> ISSU2CJ BY WDL WEAVER,DEAN L � <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued 6122/2075 <br /> Fund 40� Account 5 Program »o Function >>g Aclivity s�s <br /> Program <br /> TIlIB CONVERT 75 INCH 2609 JACKSON AVE 710119G75 <br /> WOfk Of(;?f NO ZO�S�S�9 PfOJBCf AC6VIfy TyPE: CORRECTIVE PlAINTENANCL Sf3fU5 CL <br /> Status eiz2izo�5 Time oe �e _ Original WO _ Billing__ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> Staie Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Exl <br /> Second Fhone ( ) - Ext ---- - — - - <br /> E-Ma�l Address <br /> ?roblem Information - - - <br /> Address Y60J Street JACKSOn,'Ai�E <br /> i rom Cross Street <br /> T;1 (;fOSS $If�OI <br /> C ty -- -- � Zip <br /> Subdrvision Map Deo{ Map Reference <br /> !'roblem WATER W/I TER <br /> Si�b Pro�lem OTHER 07NER <br /> Request�d Hy Date Requeated <br /> i�genr,y Related Request <br /> Inrtiated From <br /> Utdity Locate (USA) No Called Date Expiration Date <br /> Assignment Information ' <br /> Dept Pnonty Estimated Hours <br /> Crew <br /> Conlractor <br /> Assigned To <br /> l�;signed By <br /> Assigned Date To Be Comp Date <br /> Sched�led Dafe Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> ACtiOfl TBkCn CONVERT ]51NCH CURBSTOP TO.75 INCH SETT[R METER AND 60X.CUSTOMER REpUEST <br /> Recornmended Action <br /> Approved By Wp� WEAVER, DEAN L JOb COSf I�(Oftll�liOf1�Y/N) <br /> Start Date _ i � Time __ Date Completed 6n9no�5 Permit No <br /> Comple�ed �y Tlme Follow Up� <br />