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Page 1 <br /> Work Activity Work Order 6/7/2013 ia:o3 <br /> ISSU2d BY MWE MOORE,WARREN E. <br /> Issued DepaRment aw PUBLIC WORKS <br /> Date Issued 412512013 <br /> Fund aot Account 5 Program Function Activity <br /> Program UT3473 s � <br /> Title CONVERT.75 INCH 1079 MAPLE ST UT34733•3 <br /> Work Order No 2��3088� P�OJBCi Activity Type CORRECTIVE MAINTENANCE Sf2t115 CL <br /> Status arzsizo�s Time o�:az Original WO Billing <br /> Customer Information Customer ld <br /> Customer Name <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 /> Problem Information <br /> Address lp�g Street MAPLEST <br /> From Cross Street <br /> To Cross Street ZiP <br /> City <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated From Ex iration Date <br /> Utility locate (USA) No Called Date P <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 T0.751NCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By H�� HussY, urNCE.I. Job Cost Information(YIN) <br /> Start Date I i <br /> Time Date Completed s�2ono�s Permit No <br /> Completed By Time Foliow Up? <br />