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Work Activity Work Order <br />PagA 1 <br />sii9izoio ia:zi <br />ISSUEd By SJT2 SPOONER, JAMES T. <br />Issued Department aw PUBLIC WORKS <br />Date Issued s�3izo�o <br />Fund 4ot Accoun! s Program »o Function t�y Activity s�s <br />Program <br />TitlB CONVERT .75 1NCH 2611 HILL3IDE LN 710119675 <br />WOfk Ofdef NO ZOiOiZ6O PfOJeCf ACliVily TypB CORRECTIVE MAINTENANCE SfaWS CL <br />Slatus si3i2oto Time to:a3 Original WO Billing __ <br />Customer Information <br />Customer Name Customer ld <br />Address Street <br />Apartment No City <br />State Zip <br />Subdivision Change Map YIN <br />Phone No l ) - Ext <br />Second Phone ( ) - Ext <br />E-Mail Ad�'ess <br />Problem Information <br />Address pg�� Street HILLSIDELN <br />From Cross SVeet <br />To Cross Street <br />Cily Z�P <br />Subdivision Map Book Map Reference <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No Called Date Expiration Dale <br />Assignment Information <br />Dept Priority <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date __ To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken CONVERT.751NCH FLAT SERVICE TO METER AS REQUESTED BY CUSTOMER. <br />Recommended Action <br />Approved By SDG SMITH, DAVID G. <br />Start Date I I <br />Completed By <br />Time _ _ <br />Date Requested <br />Related Request <br />Estimaled Hours <br />Job Costlnformation(YIN) <br />Date Completed 5isno�o ____ Permit No <br />Time Follow Up7 <br />