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Work Activity Work Order _ -� � <br /> --- --- -- -- ----- -- — <br /> ._ � . _:., <br /> ISS�ed By SJT2 SPOONER,JAMES T. <br /> Issued Depariment aw PUBLIC WORKS <br /> Date Issued ei�zizoia <br /> Fund so� Acco�nt s Program Function Act�wry <br /> Program Urao�s i <br /> TItlB CONVE3T�7S INC�I 7420 3RAND AVE U73473�5�3 <br /> Work Order No 2��429?5 PfOJE'Cf Actiwty Type CGRPFC?iVE 1dAINTENANCE .Si2IUS CL <br /> Status w�zaoia Time os 5= Onqinal WO Biiling <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z'P <br /> Subdivision Change Map Y%N <br /> Phone No � l • Ext <br /> Second Phone ( ) • Ext - -- <br /> E-Mail Address <br /> Problem Information <br /> Address �qyp SUeet GRAND AVE <br /> From Cross Street <br /> To Cross Sfreet <br /> City 7_ip <br /> Subdivision h4ap Book tviap Rzferenca <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related F:equest <br /> Initiated From <br /> U61ity Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By �Y' • ,.. <br /> AssignedDate ____ To �eCompDale _ ;`7'�.''tJ�;��'1p� �;� , ;, <br /> Scheduled Date Scheduled Time <br /> Roule Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCIi CURBSTOP T0.751NCH SETiER WITH METER AND BOX. FLAT TO t,1ETER <br /> PROJECT. <br /> Recommended Action <br /> Approved By Fs� FISHER, BOB�Y L Job Cost Information(Y/N) <br /> Start Date i i Time Date Completed 9izaizo�a _ Permit No _ <br /> Compteted By Time Follow Up? <br />