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?aac ; <br /> Work Activity Work Order ,;_�,20,q ,�,<< <br /> ISSUed By SJT2 SPOONER,JAMES T. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued aivzota pro ram Function Activity <br /> Fund qoi Accounts 9 <br /> Program UT3473 a 3 <br /> Title CONVERT 751NCH 2221 J�D[AVE UT3473�a-3 <br /> WorkOrderNo 20140083 Project ActivityType coRRecTivrr.^,;,iNteNrr:ce Status c� <br /> St•�t�s <br /> aivzo�a time te:ss Original WO Billing <br /> Customer Information Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( ) - Ext ____ <br /> Second Phane ( ) • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address y2yq Street ,�qDEAVE <br /> From Cross Street <br /> Te Cross Street Lip <br /> City Map Book Map Reference <br /> Subdivision <br /> Problem WRTER WATER <br /> Sub Problem OTHER OTHER Date Requested <br /> Requesled By Related Request <br /> Agency <br /> Initialed From Ex uation Date <br /> Utility Locate (USA) No Called Date P <br /> Assignme�t Information Priority Estimated Hours <br /> Dept <br /> , Crew <br /> Contractor <br /> Assigned To c` : ., .. <br /> Assigned By To Be Comp Date <br /> Assigned Date _ _ _ _ _ --- <br /> Scheduled Date _ __ Scheduled Time __ _ . <br /> i�oute Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSTOP TO.751NCH SETTER WITH METEF AN�(30X. FLAT TO METER <br /> PROJECT. <br /> Rrcommended Action <br /> iiusav, �nNce e Job Cust Iniormation(Y/N) <br /> i�.npraved By H�d — Permit No <br /> Start Date � r Time Date Completed aiana�a <br /> Completed By <br /> T'me Follow Up? <br />