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Work Activity lJVork Order Pa9e ' <br /> �oi9iz��� 1� �� <br /> ISSU2d BY SJT2 SPOONER,JAMES T <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued 911 012 0 7 4 <br /> Fund aot Account 5 Program Funclion Activity <br /> Program uTsa�3 5 s <br /> Tlll@ CONVERT.751NCH 1431 GRA4D AVE UT3473•5-3 <br /> Work Order No Z��4Z909 P�O)0Ct Activity Type CORRECTWE MAINTENANCE S181U5 CL <br /> Status enoizota Time os,se Original WO ___ __ Billing ___ _ __..__ <br /> Customcr Information <br /> Customer Name Cuslomer ld <br /> Address Street <br /> Apartment No C�ty <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No l 1 • Ext <br /> Second Phone ( ) - Ext ------ - — <br /> E-Mail Address __ <br /> Problem information <br /> Address 143� Street GRAND AVE <br /> From Cross Street <br /> 7o Cross Street <br /> City Lip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requesled <br /> Agency Related Request <br /> Initiated From <br /> Util�ty Locate(USA) No Called Date [xpiralion Date <br /> Assignment Information <br /> Dept Prionly Estimaled Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned Eiy I�I��?�f��� �"� 9,'.�. � , � <br /> Assigned Date To Be Comp Date ___ �� w.�GS . :' <br /> Scheduled Date Scheduled Time _. __ <br /> Route Roule Sequence <br /> Comments <br /> Action Taken CONVERT JS INCH CURBSTOP TO .751NCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved Eiy HLJ HUSBY, LANCE J Job Cost Informahon(Y/N) <br /> Start Date i i Time ^_ _ Date Completed 911 912 01 4 _ PeffTllt NO <br /> Completed By Time Follow Up? <br />