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� : ,, <br /> Work Activity Work Ori�er ,,_;,;_,,; . _:,: ,, <br /> Issued By SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 3125/2014 <br /> Fund aoi Account s Program Function Activity <br /> Program UT7473 a s <br /> Title CONVERT 751NCH 2217 JADE AVE UT3473-0-3 <br /> Work Order No 20140684 Project Activity Type coRRecrivE MAiNreNr.Nc� Status c� <br /> ;itatus 3f25R014 Time oe:25 Original WO Billina <br /> Customer Information Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment No City <br /> State Z�p <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext __— _--_ <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address Zp97 Slreet JADEAVE <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 /> Date Requested <br /> Requested By Related Reques[ <br /> Agency <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment InFormation <br /> Dept Priority Esiimated Hours <br /> Crev; <br /> Contractor <br /> i Assigned To <br /> Flssigned By To Be Comp Date <br /> Assigned Date __ _ _ _ - — <br /> Scheduled Date Scheduled Time ___ <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBST�P�u.75 INCH SEl'�ER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ Hust,v ���Nc�d Jeb Cost Information(Y/N) <br /> Start Date i � <br /> Time Date Completed a�3izota Permit No <br /> Completed By Time Follo�v Up? <br />