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Work Activity Work Order _ , <br /> Issued By SJT2 SPOONER,JAMES T. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued aizsno�a <br /> Fund aai Account 5 Program Function Aclivity <br /> Program UT3473 4 3 <br /> Titl2 CONVFRT]5 INCH 2308 JADE AVE UT3473-a-3 <br /> Work Order No 20140627 Project Activity Type co�reecTr��t r.�Awrerinr�ce Status c� <br /> Slatus 3�zeizota Time oa:sa Original WO Billing <br /> Customer Information <br /> Customer Name Customer Itl <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change i+Aap Y/N <br /> Phone No ( 1 - Ext _ _ <br /> Second Phone ( 1 • Ext <br /> �-Mail Address <br /> Problem Information <br /> Address 2308 Slreet �qDE AVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Ma� Reference <br /> P•oblem WATER WATEP, <br /> �ub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From Called Date Expiration Date <br /> Utiliry Locate (USA) No <br /> Assignment Information <br /> -� ���p� Priority Eslimated Hours <br /> � ';rew <br /> I ���ontractor <br /> ����signe�l l�o <br /> �� �� sslgned f3y <br /> ssigned Dat� To f3e Comp Date ., i .' • k <br /> "�� ; ,,< .� <br /> cheduled Date _ Scheduled Time ____ _ � - <br /> oute Route Sequence <br /> �nnments <br /> ,ion Taken CONVERT]S INCN CUR�STOP T0.751NCH SFTTER WITH METER AND BOX.FLAT TO METER <br /> j PROJ[CT <br /> �I <br /> � ommended Action <br /> Job Cost In(ormalion(YIN) <br /> croved By H�d �������� ����c�•� llme Date Completed aivzo�a Permit No <br /> :;iar, Date i <br /> ComF;luto�J [3y Time Follow Up� <br />