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Work Activity Work Order Page � <br /> 4�11,2�11 1�:50 <br /> --- -----� -- -- �-- ---------- --------- ---�---�-- ----- - ---- --- <br /> ISSUBd By SJT2 SPOONER,JAME5 T. <br /> Issued Departmentrw PUBLICWORKS <br /> Datelssued antnatt <br /> Fund �o� Account s Program »o Function tte Activity e�s <br /> Program <br /> TiIIE CONVERT.S INCH 2505 P�NE ST 770119675 <br /> Work Order No 2O'I'IOBZ9 PfOJOC� Activity Type CORRECTIVE MAINTENANCE St8tU5 PR <br /> Status nnvzo�i Time io:5n Original W0 _ Billing__ __ _ _ _ _ <br /> Customer In(ormation <br /> Customer Name Customer ld <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 /> _ _ ----- — - --- <br /> Problem Infortnation <br /> Address 2505 Street pINE 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 <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate(USA) No Catled Date Expiration Date <br /> Assignment Information <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 Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.5 INCH CURBSTOP TO NEW.751NCH METER WI SETTER AND BOX.AS REQUESTED <br /> BY UBI VACANT. <br /> Recommended Action <br /> Approved By Job Costlnformation(Y/N) <br /> Start Date � i Time Date Completed q i �Z I �� __ Permit No _ <br /> Compieted By ���� Time Foilow Up? <br />