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Work Activity Work (�rder Page � <br /> io/3i/zaia 3:05 <br /> Issued By SJT2 SPCONER,JAMES T. <br /> Issued �epartment aw PUBLIC WORKS <br /> Date issued ian�zota <br /> Fund aot Account s Program Function Activiry <br /> P�ogrem uraara 5 3 <br /> Title CONVERT.75 INCH 2322 GRAND AVE UT3473•5-3 <br /> Work Order No 20143058 PfOJECt Activity Type CORRECTIVE I�AAINTENANCE S18�U5 CL <br /> Status �onnoia Time osoo OriginalVJO Billing __` ___ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No Ciry <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( ) - Ext <br /> Second Phone ( ) • Ext - -- — <br /> E-Mail Address <br /> --- -- --- _ _— <br /> Pvoblem Information <br /> Address Y3yy Street GRAND AVE <br /> From Cross Street <br /> To Cross Sireet <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related RequP�! <br /> Initiated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Iniormation <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date _____ To Be Comp Date <br /> Scheduled Date _ Scheduied Time p� , ;�+�r� �� � ' � '' ' �, <br /> .__ Ltie`_�� � .,� .J'la'+ 1 [ }_ • .- ., . '�. <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP TO.75 INCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By pe� FisHeR,soasv�. Job Cost Information(Y!N) <br /> Start Date � � Time Date Completed toneizo�a _ Permit No _ <br /> Completed By Time Follow Up? <br />