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Work Activity Work 4rder `"'�° ' <br /> ic/=�/z�_.� — <br /> 155U2d By � SJT2 SPOONER,JAMES T. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued 913012074 <br /> Fund ao� Account s Program Function Act�wry <br /> Program uTaan 5 a <br /> Title CONVERT i51NCH 2O73 GRAND AVE UT3473-53 <br /> Vvork Order No 20143037 PfOJ2Ct Activiry Type CORRECTIVf_h1AINTENANCE StdluS CL <br /> St2tus sr�o�z�ta Time cs z3 Original WO _ Billing_ _ ___ <br /> Customer Information <br /> Customer Name Customer Icl <br /> Address Street <br /> Apartment No C�ri <br /> State Zio <br /> Subdivision Change Map Y/N <br /> Phone No 1 1 • Ext <br /> Second Phone ( � • Exi <br /> E-Iv1ad Address <br /> - - -- _ _— _ — <br /> Problem Information <br /> Address 2013 Street GRAND AVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book P.1ap Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Uhliry Locate (USA) No Called Date Expira6on Date <br /> Assignment In(ormalion <br /> Depl Prior,ry Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned [3y <br /> �ssigned Date To Be Comp Date ,, .,„�,_ , <br /> Scheduled Date ____ Scheduled Time ____ `�� �''��'���'e �.,;�r� �, ?� <br /> Roule Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSTOP TO.751NCH SETTER WITH METEH AND OOY,.FLAf TO METER <br /> PftOJECT. <br /> Recommended Action <br /> Appro�ed By pe� FISHER, BOB�Y L JOb C051 If1(Ofri10li0�(Y/NJ <br /> Slart Dale i i Time Date Compleled tonnota _._ Permit No <br /> �om;:'�ti�d E�, Trne Foilov� Up� <br />