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Page 1 <br /> Work Activity Work Order 6,ll,Za1, 13:3� <br /> ISSUBd By SJT2 SPOONER,JAMES T. <br /> Issued Departmentrw PUBLICWORKS <br /> Date Issued 5H61201J Pro ram Function Activity <br /> Fund aot Account s 9 <br /> Program UT3473 J 3 <br /> Title CONVERT.75 INCH 1110 MAPLE ST UT3473•33 <br /> Work Order No 2��3�9aZ PfOJBC[ Activity Type CORRECTIVE MAINTENANCE StOIUS CL <br /> 517612013 l�lflle 13:15 OfIJlf181 WO Bllllfl9 <br /> StaWs – <br /> Customer Information �ustomer id <br /> Customer Name Street <br /> Address <br /> ApaKment No City <br /> State Z�P <br /> Change Map YIN <br /> Subdivision <br /> Phone No ( ) - Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 1110 Street MAPLE ST <br /> From Cross Street <br /> To Cross Street Zip <br /> City Map Book Map Reference <br /> Subdivision <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated 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 INGH SETTER WITH METER AND BOX.FLA(TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By H�e Husev,v�Nce.t. Job Cost Information(YIN) — <br /> Time Date Completed sizvzata Permit No <br /> Start Date I i _ Follow Up? <br /> Completed By Time <br />