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Page I <br /> Work Activity Work Order e,8,2a1, ,:41 <br /> ISSU2d BY SJT2 SPOONER,JAMES T. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued 611 312 01 3 <br /> Fund aot Account s Program Function Activity <br /> Program u73a�3 a 3 <br /> Titie CONVERT.75 INCH 2312 PINE ST UT3473-33 <br /> Work Order No 20131276 PfOJOCI Activiry Type CORRECTIVE MAINTENANCE S18►US CL <br /> Status 6113/2073 Time �e:o� Original WO Billing_ -- <br /> Customer Iniormation Customer ld I <br /> Customer Name <br /> Address Street , <br /> Apartment No City � <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( > - Ext — <br /> Second Phone ( ) - Ext <br /> E-Mail Address ---- <br /> Problem Information <br /> Address Y3�y Street p/NE ST <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER Date Requested <br /> Requested By Reiated Request <br /> Agency <br /> Initiated Frem Ex iration Date <br /> Ulility Locate(USA) No Called Date P <br /> Assignment Information <br /> Dept Prioriry Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By To Be Comp Date 1A 1 C R O F I L.M E Q <br /> Assigned Date _ .__ --- — <br /> Scheduled Date _ Scheduled Time _.__ <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSTOP TO.75 INCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ Husav,ts�NCe J. Job Cost Information(YIN) <br /> Time Date Compieted �naisat9 Permit No __ <br /> Start Date � � --- <br /> Completed By <br /> - -— — -- Time Follow Up7 <br />