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Work Activity Work Order Pa9e 1 <br /> s/i�/zoia ii:a6 <br /> ISSUBd BY SJT2 SPOONER,JAMES T. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued vB�zo�a <br /> Fund aut Account s Program �to Function tts Activity B75 <br /> Program <br /> TIfl2 CONVERT.751NCH22270AKESAVE71011�J675 <br /> WOfk OfdOf NO 20140161 PfOjBC� Activity Type CORRECTIVE MAINTENANCE S�2tU5 CL <br /> Status va�2oia Time os_zo_ Originai WO_ ___ __ Billing_ ___ ___.___ ___ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No ��ry <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 YYP7 Street OAKES AVE <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 Relaled Request <br /> Initiated From <br /> Utility Locate (USA) No Cailed Date Expiration Date <br /> Assignment In(ormation <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned Qy <br /> Assigned Date ___ _ To Be Comp Date __ <br /> Scheduled Date Scheduled Time ___ <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSTOP TO.75 SETTER WITH METER AND BOX.OWNER RE�. <br /> Recommended Action <br /> Approved By wo� VJEAVER, DEAN L. JOb COS1 Ifl(OffT18tI0f1(YIN� <br /> Start Date I i Time __ _ Date Completed tno�zola Permit No__ <br /> _ -- --- <br /> Completed By Time __ Follow Up?__ ___ <br />