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Work Activity Work Order <br />ISSUEd By SJT2 SPOONER, JAtdES T. <br />ISSU2d �epartment Pw PUBUC WORKS <br />Date Issued 5norzoia <br />Fund aot Accounts Program <br />Program una�a s a <br />Tdle CONVERT ,-S INCH 2521 GRANDl�VE UT}q73.5-1 <br />Wark Order No Z�14Z886 Project <br />Sta,us _ enc�zo_,a T�me ossz Onginal WO <br />Funct�on Ac'rvdy <br />Aclivity Type co�REGtn�e r,»uareNr,Nce Status c� <br />Customer In(ormation <br />Customer Name Custorner ld <br />Address Street <br />Apartment No ��ty <br />State Z�P <br />Subdiwsion Change Map Y/N <br />Phcne Na t 1• E�t <br />Second Phone ( � - E� — <br />E-Nail Address _ ____ <br />Problem Information <br />Address yspq Street GRAND AVE <br />From Cross Street <br />To Cross Street <br />City Z'P <br />Subdiv�;ion f�1ap Dcek f�4ap Reference <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requcsted By Date ReGuested <br />AgenCy Related Request <br />Indiated f=rcm <br />Ubidy Locate (USA) No Cafied Date Expiration Date <br />Assignment Iniormation <br />Dept Pnonry Eslimated Hours <br />Cre.v <br />Contractor <br />Assigned To <br />Assigned Dy <br />Assigned Date 10 E3e Gomp Da'e ;,� � ��;-. �, r �yy <br />Scheduled Time �� �� � �' L �� �: !ry <br />Scheduled �ate .__ _ <br />Route Route Sequence <br />Commcnts <br />Action Taken CONVERT ]S INCH CUR�STOP TO ]S INCH SETTER WITH h7ETER AND BOX. FLAT TO METER <br />PROJECT. <br />Recommended Action <br />Approved By pe� F�s�+eH t3o3er � Job Cost Information(YlN1 <br />Start Date � � Time Date Corr�pleted 9/2612014 Permit No <br />__. . . __ _—___ . _._. ___—_. <br />Completed By <br />Time Follow Up� <br />