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Page 1 <br /> Work Activity Work Order _,,,,,a�, _12:�,_ <br /> _ -------- <br /> ISSUOd By SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date issued sivzo�� Account s Program »o Function »e Activity 675 <br /> Fund aot <br /> Program <br /> TIll2 CONVERT.751NCH7226MAPLEST7101196i5 <br /> ZO'I3OH9H PfOj@CI Activity Type CORRECTIVE MAINTENANCE Sf0fU5 CL <br /> Work Order No Billing __ <br /> — ----- -- — <br /> Status _sruzoi? Time_oe as _ Original W _ _ ____ __ _ <br /> Customer Information Customer ld <br /> Customer Name Street <br /> Address <br /> Apartment No City <br /> State Z�p <br /> Change Map YIN <br /> Subdivision Ext <br /> Phone No � � ' — <br /> Second Phone ( ) • Ext <br /> E-Mail Address — ---— —-- <br /> Problem Information Street <br /> Address 1226 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 Cailed Date Expiration Date <br /> Utility Locate (USA) No <br /> Assignmen:Information Priority Estimated Hours <br /> Dept <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By To Be Comp Date <br /> 4ssigned Date _ _____ -- <br /> Scheduled Date _ __ Scheduled Time _ <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSTOP TO.751NCH SETTER WI METER AND BOX.OWNER RE�. <br /> Recommended Action <br /> Job Costlnformation(Y/N) <br /> Approved By wo� WEAVER,DEAN L. Time Date Completed sni2o�a _ Permit No <br /> Start Date i � _ --- <br /> — Time Foilow Up? <br /> Completed By _ _ -- - — -- <br />