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Work Activity Work Order �°"� 1 <br /> ����i�o�.; �� �. �z <br /> ---- - - - --- -- <br /> ISSUed By SJT2 SPOONER,JAMEST. <br /> Issued DepsitinentPw PUBUCWORKS <br /> Date Is;ded ioiv2o�a <br /> c;;;;d ,�� Account s Prcyram Function Acliviry <br /> Program UT7473 s a <br /> Tiile CONVERT 75 INCM 2416 GRAND AVE UT3473-5-3 <br /> Work Order No 20�43�6� PfOjOCI Activity Type CORRECTIVE MAMTENANC[ StBfuS CL <br /> StaWs ioiv2o�4 Time o5z2 Original WO Billing _ _ __ ___ <br /> Customer Information <br /> Customer Name Cuslomer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No f ) - Ext _____ __ <br /> Second Phone ( 1 • Ext <br /> E-Mail Address _ ___ _ . _— <br /> Problem Information <br /> Address 2416 Street GRAND AVE <br /> From Cross Street <br /> To Cross Street <br /> Ciry 2ip <br /> Subdivision Map Book Map Reterence <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Requesl <br /> Iniliated From <br /> UGlity Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Depl Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date __ ___., To Be Comp Date __ _ � � ,. :� , <br /> Scheduled Date ____ Scheduled Time _._____ '�'`� ��r� ' '- �z- <br /> Roule Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP TO .751NCF1 SETTER WITIi METER AN�BOX. FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By Fe� tisr+ea, uosev� Job Cost Information(YIN) _ _ <br /> Start Date � i Time __ Date Completed �onerzata Pernut No <br /> Completed By Time Follo��✓Up? <br />