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Work Activity Work Order - =_ <br /> ,.-;:: �.-,-i; �-, , <br /> - ----- _ --- _ __ _ . _ -- <br /> 155�2d BY SJT2 SPOONER,JAMEST. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Iss:,ed 911012 0 1 4 <br /> Fund 4p� Accounls Program Function Achviry <br />� Program uraan s s <br /> TiIIE CONVERT 751NCH 2125 GRANDFVE UT3e7J 5�3 <br /> �Nork Order No 20143043 P�OJ2Ct ACbvity TyFB CORRECTI"E UFINTENANCE St2tU5 CL <br /> Status _ 9�3orzoi- T�me os a� _ Original WO _ Bilhng <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Streel <br /> Apartment No City <br /> State Z�p <br /> Subdlvis�on Change Map Y/N <br /> Phone No ( ! - Ea[ <br /> Second Phone ( � - Ext — — — <br /> E-Ma�l Address <br /> roblem In(ormation <br /> -- _ _ <br /> Address Z�P6 Street GRAND AVE <br /> From Cross Street <br /> To Cross Street <br /> City Z�n <br /> Subdivision ��1ao Book �viap Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Da(e Requesled <br /> Agency Re!ated Request <br /> Initialed From <br /> U1�hry Locate (USA) No Called Date Expiration Date <br /> Assignment In(ormation <br /> Depl Prionty Gstirnated �io�.us <br /> Cre�v <br /> ConUactcv <br /> Assigned I.� <br /> Ass�gned !i; <br /> Assigned f?,3>�� 1�, fir i:o�nn I�.�t•-� <br /> ScheduledDate Scheduled time __ y� ; µ;�, ��� � '.�;5_ �. <br /> Foute Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSTOP TO.75�NCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By 1{�� Hussv,uNCE � Job Cost Information(Y/N) <br /> Start Date �_ i Time Date Completed �oiaizo�a Permit No <br /> Completed Ey Time Follo�v Up7 <br />