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Work Activity Work Order P1°,� ' <br /> io/9/zeiti ii: ie <br /> ISSU2d By SJT2 SPOONER,JAMES T. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued v�oizo�a <br /> Fund a0t Account 5 Program Function Activity <br /> F+rogram uTaa�a 5 J <br /> Tifle CONVERT.751NCH 1603 GRANDAVE UT3573•53 <br /> WOfk �fd2� NO Z��4Za96 PfOJBCI Activity Type CORRECTIVE MAINTENANCE S�2IU5 CL <br /> Status e��e�zoia Time o5 ce Original WO Billing <br /> Customer Information <br /> Customer Name Cuslomar ld <br /> Address Street <br /> Apartment Nc Gty <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 - Ext <br /> Second Phone 1 > - Ext <br /> E-Mail Address <br /> Problem Information <br /> Adriress 1603 Streat GRAND AVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utihty Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimaled Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To E3e Comp Date _ ("-`���{';�,j�;����p � M,a 4��, <br /> Scheduled Date Scheduled �irne <br /> Route Route Sequence <br /> Comments <br /> Action Taken CO�VERT.75 INCIi CURBSTOP TO.75 INCH SETTER WITH METER AND BOX. FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By NW �iusev,�nNce� Job Cost In(ormation(Y/N) <br /> Start Date i i Time Date Completed ynvzoia Permit No <br /> Compteted By Time Follow Up7 <br />