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Page 1 <br /> Work Activity Work O�der 6/11/2013 �o:ss <br /> ISSUEd BY MWE MOORE,�VARREN£. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued aizsizots p�o ram Function Activity <br /> Fund aot Accounts 9 <br /> Program UT3473 3 3 <br /> Title CONVERT.75 INCH 1005 MAPLE ST UT3473•33 <br /> WOfk Of(10f NO 20130864 PfOJ2CI Activity Type CORRECTIVE MAINTENANCE SlBIUS CL <br /> a�z5rzoia Time orsa Original WO Billing __ <br /> Status — <br /> Customer Information Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Change Map YIN <br /> Subdivision <br /> Phone No ( ) - Ex[ <br /> Second Phone ( ) - Ext <br /> E-Mail Address -- <br /> Problem Information Street <br /> Address 1005 MAPLE ST <br /> From Cross Street <br /> To Cross Street Z�p <br /> City Map Book Map Reference <br /> Subdivision <br /> Problem WATER WATER <br /> Sub Probiem OTHER OTHER Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initialed From Called Date Expiration Date <br /> Utility Locate (USA) No <br /> Assignment Information priority Estimated Hours <br /> Dept <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By To Be Comp Date <br /> Assigned Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSTOP TO.75 INCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By H�� Hussv,u+Nce J. Job Cost Information(YIN) <br /> Time Date Completed si2o�za�a Permit No <br /> StaR Date i � -- Time Follo�v Up9 <br /> Compleled By <br />