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Work Activity Work Order �`Ge � <br />s�'.°�zoi; �s:oa <br />Issued By SJT2 Sf'OONER, JAMES T. <br />Issued DepartmentPw PUBLIC WORKS <br />Date Issued aiz2izota Activi <br />Fund no� Account 5 P�ogram Function ry <br />Program UT1473 4 3 <br />TIfl2 CONVEP.T .75 INCH 2219 OKLAHOMP, AVE UT34i3-4-3 <br />Work Order No 2��409�� PfOJOCt Activity Type CORRECTIVE MAINTENANCE St8fU5 CL <br />Status arzzizota Time �a o� Original WO _ _ _ _ _ _ __ailling _ _ _ _ _ ___ -- <br />Customer Information Custoiner ld <br />Customer Name <br />Address Street <br />Apartment No City <br />State Z�P <br />Subdivision Change Map Y/N <br />Phone No ( ) - Ext _ _ <br />Second Phone ( 1 - Ext <br />E-Mail Address __- -- -- — ---- - <br />Problem Information <br />Address YP1g Street pKLAHOlJIA AVE <br />From Cross Street <br />To Cross Street <br />City Z�P <br />Subdivisicn Map Book Map Reference <br />Problem WA7'ER WATER <br />Sub Problem OTHER OTHER Oate 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 />Cre�v <br />Contractur <br />Assigned To <br />Assigned By <br />Assigned Date __ ____ To Be Comp Date � <br />!d�•:.�1;���i_s4f�!'�J <br />Scheduled Date _ Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Takeu CONVERT.751NCH CUROSTOP T0 751NCri �cTTER WITH METFR AND BOX. FLAT TO METER <br />PROJECT. <br />Recommended Action <br />Approved By HLJ HUS�V, LANCF J. JOb COSf IflfOffT18ti0�(Y/N) <br />Time Date Completed snizoia Permit No _ <br />Start Dsta � i _ - - - <br />Completed By Time Follow Up? <br />