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Work Activity Work Arder page 1 <br /> 6/27/2013 9:12 <br /> ISSUBd BY SJT2 SPOONER,JAMES T. <br /> Issued Departmentrw PUBLICWORKS <br /> Date Issued 512vzo�a <br /> Fund qo1 Account a Program Function Activity <br /> Program UT1473 3 � <br /> TIIIP CONVERT.751NCH 2532�:APLE STUT34733-3 <br /> Work Order No 20131035 Pf0J2Cf Activity Type CORRECTIVE MAINTENANCE S�8�U5 Cl <br /> Status 5/2112073 Time ie:ao Oriaina.!:"JO Billing_ <br /> Customer Information <br /> Customer Name Customer ld <br /> ,'�ddress Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone Mo ( 1 • Ext _ <br /> Second Phone ( 1 - Ext <br /> E-Mail Address — <br /> Problem Information <br /> Address 2532 Street MAPLE ST <br /> From Cross Street <br /> To Cross Stre^t <br /> City ZiP <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER � <br /> Sub Probiem OTHER OTHER <br /> Requested By Date Requested <br /> Pgency <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 /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Da[e __ To Be Comp Date <br /> Scheduled Date Scheduled Time __ <br /> Route Route Sequence <br /> Comments <br /> Action Taken CO�lVERT.75 INCH CURBSTOP TO.75 INCH SETTER WITH METER ANC BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By H�e Husev,�+NCe�. Job Cost Information(Y/N) <br /> S;srt Date i I Time _ Date Completed 61512013 Permit No <br /> Completed By Time Fallow Up? <br />