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Work Activity Work Order pa9e 1 <br /> 6/27/2013 5:06 <br /> ISSU@d BY SJT2 SPOONER,JAMES T. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued 512 912 01 3 <br /> Fund aot Account s Program Function Activiry <br /> Program UT9473 s s <br /> TI[IB CONVERT.75 INCH 2414 MAPLE ST UT3473•3-3 <br /> Work Order No 20131101 PfOJ@CL Activity Type CORRECTIVE MAINTENANCE SiB�US CL <br /> Status 5R9/2013 Time �s:os 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 Y/N <br /> Phone No � ) • Ext ___ <br /> Second Phone ( 1 - Ext <br /> E-Mail Address --- <br /> Problem Information <br /> Address 2414 Street MAPLE ST <br /> From Cross Street <br /> To Cross Street <br /> City ZiP <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency <br /> 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 /> ConUactor <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 INCH SETTER WITH METER AND BOX.METER PROJECT. I <br /> Recommended Action <br /> Approved Dy HLJ Husev,u+NCe J. Job Cost Inforrt�ation(YIN) <br /> Start Date � i Time Date Compieted 61512013 Permit No <br /> Completed By ______ __ Time _ Foliow Up? <br />