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Page 1 <br /> Work Activity Work Order ��3/2013 14:33 <br /> ISSUBd By SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 61812013 <br /> Fund ao� Account 5 Program Function Activity <br /> Program uTsa73 3 � <br /> T1110 CONVERT.5 INCH 2323 PINE ST UT3473-3•3 <br /> Work Order No 20131165 PfOJ@CI Activity Type CORRECTIVE MAINTENANCE S�81U5 CL <br /> $[BfuS 61812013 TItT1B 0829 Oflglfl8l WO Bllling -- <br /> Customer Iniormation Customer ld <br /> Customer Name <br /> Address Slreet <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 2323 Street p�NE ST <br /> From Cross Street <br /> To Cross Street ZiP <br /> City <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTNER OTHER Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By To Be Comp Date <br /> -b�� .. , � a� tw <br /> Assigned Date __ '_;��; y�„�`� x4� � c ,� " x� <br /> Scheduled Date Scheduted Time <br /> Rcute Route Seyuence <br /> Comments <br /> Action Taken CONVERT.5 INCH CURBSTOP TO.75 INCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ Husev,v+Nce.l. Job Cost Information(Y!N) <br /> Start Date i i Time Date Completed snv2ota Permit No <br /> Completed By Time Follow Up? <br />