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?age 1 <br /> Work Activity Work Order 5�1„Zol, 11:,, <br /> - - - -— — ---- <br /> Issued By SJT2 SPOONER,JAMES T. <br /> Issued Department rH� FUBUC WORKS <br /> Date Issued vanola Activi <br /> Fund aot Account s Program 7io Function t�9 �Y 675 <br /> Program <br /> TIfIB CONVERT.75 INCH 2372 GRAND AVE 710119675 <br /> Work Order No 2��4��66 PfOJECI Activity Type CORRECTIVE MAINTENANCE St8iU5 CL <br /> Sl2tU5 1/BR014 Tlfl'lB 06:45 _0�191f101 WO __ Ei!Illfl9_ __ _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P Change 61ap YIN <br /> Subdivision <br /> PhoneNo ( ) - Ext ---_--_—--- -. <br /> Second Phone ( ) - Ext <br /> E-Mail Address _ _ — - --- -- --- —- <br /> Problem Information <br /> Address P31Y Street GRAND AVE <br /> From Cross Street <br /> 1'o Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated From <br /> Utility Locate (USA) ho Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Re Comp Date <br /> Scheduied Date __ _ _ Scheduled Time _ <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP T0.751NCH SETTER WITH METER AND BOX.OWNER REQ. <br /> Recommended Action <br /> Approved By woL �+VER,DEAN L. JOb Ccst Information(Y/N) <br /> Start Date i � Time _ Date Completed 1N312073 Permit No _ <br /> Completed By Time Foilow Up? ___ <br />