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Work Activity Work Or�ler ` " ' <br /> : � . .. . � ,� <br /> Issued By SJT2 SPOONER,JAMES T. <br /> Issued Departme�tPw PUBLICWORKS <br /> Date Issued 913012014 <br /> Fund aot Account 5 Program Function Acuv�;y <br /> Program UT3673 s 3 <br /> T�Ue CONVERT 75 INCH 2107 GP�ND AVE UT3473�5�3 <br /> Work Order No Z0143033 Pro�ect AcUviry Type CORRECTIVE 61AW r[Naticf :tatus c� <br /> Stalus 9i3orzo�a Time cs �9 _ Original WO _ ___ B�Iling __ _ _ <br /> Customer'nformation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No C�ty <br /> State Z'P <br /> Subdrvision Change Map Y�N <br /> Ptione No � 1 • Ext _ __ <br /> Second Phone � � • Ext — <br /> E-Ma�l Ad�ress <br /> Problem Iniormation <br /> Address y�p7 Street GRANDAVE <br /> From Cross Street <br /> To Cross Slreet <br /> Ciry "p <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requesled By Date Requested <br /> Agency Felated Requesi <br /> Initiated From <br /> Uldity Locale (USA) No Called Dale Expira6on Date <br /> Assignment Iniormation <br /> Dept Prronty Esiimaled Hours <br /> Crew <br /> Contractor <br /> Assiqned To <br /> Assigned By <br /> Assgned Date __, _ To Be Comp Date <br /> Scheduled Date __,._____ Scheduled Time ____ �.^�;. �t,� ., ., � •. , . <br /> Route Route Sequence .���-r r+'�;��"�e �.��4��� � <br /> Comments <br /> Action Taken CONVERT ]51NCH CURBSTOP TO .751NCN SETT[R WITH MFTER AN�BOX FLAT TO M[TER <br /> PROJECT <br /> Recommended Action <br /> Approved By NW H�ssv, t1+Nce� Job Cosl Intormation(Y�N� <br /> 5t�rt Date i r Tirr�e __ _ Date Completed 9i3ono�a Perm�t No_ _ _ <br /> Compleled By Time Follow Up? <br />