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Work Activity Work Order P,9� I <br /> 7/23/2015 5: 30 <br /> ISSu2d By SJT2 SPOONER,JAMES T. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued 611 012 0 1 5 <br /> Fund eo� Account s Program Function Activity <br /> Program uTaa�a e a <br /> Tide CONVERT 7C INCH 2327 OAKES AVE UT3a73�6-3 <br /> WOfk OfdEf NO 20151344 PfOJ2Cf Activity Type CORRECTIVE MAINTENANCE StetUS CL <br /> Status _ ei�v2ois fime n 3a Originai WO _ Billing__ __ _ _ _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y1N <br /> Phone No ( 1 - Ext <br /> Second Phone ( 1 • Ext — -- <br /> E-Mail Address <br /> Problem Information <br /> Address y3Z3 Street pqKES AVE <br /> From Cross Street <br /> To Cross SVeet <br /> Clty 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 Called Date Expiration Date <br /> Assignment Information <br /> Dept Pnority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By �, . <br /> Assigned Date _ To Be Comp Date ��(�:���' L��y �/ <br /> Scheduled Date Scheduled Time <br /> Raute Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSTOP T0.751NCH SETTER WITH METER ANO BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By EAL ERICKSON,ANDREW L JOb COS! I�(OfR18ti0�(YIN) <br /> Start Date � i Time Date Completed snsno�s Permit No <br /> Completed By Time Follow Up? <br />