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Work Activity Work Order pa°e 1 <br /> 6/7/2013 i�:e9 <br /> Issued By MN1E MOORE,WARREN E. <br /> Issued Departmentaw PUBLIC WORKS <br /> Date Issued ana�2ou <br /> Fund aot Account s Program Function Activi:y <br /> Program UT3473 a a <br /> Title CONVERT.75 INCH 1111 MAPLE ST UT347333 <br /> Work Order No Z��3�$74 PfOJ0C1 Activity Type CORRECTIVE MAINTENANCE St2�US CL <br /> Status aizarzo�3 TIf118 75:31 Original WO Billing __ _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No ��h' <br /> State Z�p <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 - Ext __ <br /> Second Phone ( ) - Ext <br /> E-Mail Address _ _ <br /> Problem Information <br /> Address ��q� Street ��p,pLEST <br /> From Cross Street <br /> To Cross Street <br /> City ZiP <br /> Subdivisior 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 Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assig�ed By <br /> Assigned Date _ __ To Be Comp Date _ <br /> Scheduied Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Take7 CONVERT JS INCH CURBSTOP T0.751NCH SETTER WITH METER AND BOX.FLAT TO METER i <br /> PROJECT. �� <br /> Recommended Action <br /> Approved By HLJ HussY,i.nNCE�. Job Cost Information(YfN) <br /> Start Dale � � Time Date Completed 5H612013 Permit No <br /> Completed By Time Follow Up? <br />