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Work Activity Work Order ` '�° ' <br /> . : -�; . <br /> ISSUEd By SJT2 SPOONER,JAMEST. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 913 0120 7 4 <br /> Fund aot Account5 Program Funchcn AcGvdy <br /> Program ursa�a s � <br /> 11(le CONVERT 75INCH 2115 GRAND AVE UT3a73�5-7 <br /> Work Order No 20143031 Pro�ecl Acliv�ry Type co��tecrivE r.taiNt[N+NCe S!atus c� <br /> Status 9i7o�:ota Time e5 ta Origmal WO ___ B�Iling __ <br /> Customer In(ormation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No ��tY <br /> Slate Z�P <br /> Subdiwsion Change Map YiN <br /> Phone No I � - Ext <br /> Second Phone � 1 • Ext � -- <br /> E-�vtad Address <br /> Problem Information <br /> Address 21f5 Street GRANDAVE <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdrvision hlap Qook tvlap f2e(erence <br /> Problem WArER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date RequesLd <br /> Agency Related ReGuest <br /> Ind�ated From <br /> Utdity Lucate (USA) No Called Date Expiratio� Date <br /> Assignment Information <br /> Dept Priority Estimated Heurs <br /> Crew <br /> Contracror <br /> Assiyned lo <br /> Assigned By <br /> Assi ned Date To C�e Comp Datc <br /> 9 ��'f��:�; _ ,. <br /> Scheduled Date Scheduled Time _ ''�'' ^�' '�` i" t' `� .��,'�s:�. <br /> Rou;e Roule Sequence ' <br /> Comments `t <br /> Action Taken �ONVERT ]S INGH CURBSTOP 70 JS INCH SETTER WITH METER AND BOX FIAT TO ME1ER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ Husov, v+Nce � Job Cost InlormaUon(Y/N) <br /> �tart Da(e � i Time __ Date Compleled ynorzo�a _ Permit No <br /> Completed By Time Follow Up� <br />