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1Nork Activity V11ork Order _ , ,:`;';;: <br /> Issued By SMA1 SCALZO,M1�ELODY A. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued 312812014 Punction Activity <br /> Fund aoi Accounts Program <br /> Program UT3473 a 3 <br /> Title CONVERT.751NCH 2305 JADE AVE UT3473-4-3 <br /> Work Order Nc 20140664 PfOJ2Ct Activity Type CORRECTIVE MAINTENANCE Sl8lU5 CL <br /> Stalus 3�ze�zoia Time os:3� Original WO Billing <br /> Customer Information Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment No City <br /> Stale Z�p <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext _ __--- - <br /> Second Phone ( 1 - Ext <br /> E-Mail Address - <br /> Problem Information <br /> Address 2305 Street �qDE AVE <br /> From Cross Street <br /> To Cross Street <br /> Zip <br /> �"��Y Map Book Map Reference <br /> Subdivision <br /> Problem WATER W%JTER <br /> Sub Problem OThlER 01 HER Date Requested <br /> Requested By Re:ated Requesl <br /> Agency <br /> Initiated From �x iration Late <br /> Uhlity Locate (USA) No Called Date P <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> C rew <br /> Contractor <br /> Assigned To <br /> Assigned By fo ae Comp Date � - <br /> Assigned �ate <br /> Scheduled Date _ Scheduled Time <br /> Route Route Sequence <br /> i Comments <br /> Action Taken CONVERT.751NCH CURf15TOF TO.75 INCH SETTEiZ WITH 7JIETER AND BOX. FLAT TO METER <br /> PROJECT. <br />`, Recommended Action <br /> Job Costirformation(YIN) <br /> Approved By HLJ HUSBY,LANC[J - <br /> .__ _.___ _ _ . <br /> - — Time Date Completed aiznoia __ __ Permit No <br /> Start Date � � - " <br /> ----- - <br /> _ ____. _ -- Time Follow Up. <br /> Completed E3y <br />