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� <br /> Work Activity Work Order Page � <br /> — — — --- ------ - --- z/zs/zoic i�:oe <br /> ISSUBd By SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued ve�zo�o <br /> Fund Qo� Account s Program »o Function �i9 Activity s�5 <br /> Program <br /> TIYIe CONVERT.7F.INCH 2126 MAPLE ST 710119675 <br /> WOfk OfdOf NO ZO'IOOO9G PfOJOCt Activity Type CORRECTIVE MAINTENANCE StcWS CL <br /> Status vai2oio Time o�:os Original WO __ __ Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( ) • Ext <br /> E-Mail Address <br /> Problem Information -- -- — <br /> Address Z�Zg Street MAPLEST <br /> From Cross Street <br /> To Cross Street <br /> Ciry Zip <br /> Subdivision Map Book Map Reference i <br /> Problem <br /> Sub Probiem <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 /> Contraclor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken ;,UTOMER REQUEST FLAT TO METER.INSTALL.75"METER WITH SEiTER AND BOX.(NO t <br /> METER q LISTED ON WORK ORDER). <br /> Recommended Action <br /> Approved By s.1Tz SPOONER,JAMES T. JOb COSi Ifl(OfR18fI0f1(Y/N� <br /> Start Date _i I _ Time Date Completed tislzo�o Permit No <br /> Completed By_ Time Follow Up? <br /> `�Y <br /> r <br />