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Work A�tivity Work Order 'a�r ' <br /> - -- - -- -- -- -- - -- - <br /> ;����_ �=:_: <br /> ISSUEd BY SJT2 SPOONER,JAMES T. <br /> Issued Department°w PUBLICWORKS <br /> Date Issued navso�3 <br /> Fund ao� Accounts Program Function Acti�ity <br /> Proaram UT7473 a 3 <br /> TItlE CONVERT 75 INCH 2711 VICTOR PL UT34i3-3-3 <br /> Work Order No 20131571 PfOJOC( Activiry Type CORRECTIVE MAi�TENAhCE Sf0lU5 CL <br /> StaWs 7/31l2013 Time u t i Ori inal N.0 Billing _ _ ___ _ _ __ _ _ <br /> r <br /> - --9 - - - -- <br /> Customes information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�� <br /> Subdivision Change Map Y/N <br /> Phone No l ) • Ext --- - — - <br /> Second Phone ( ) • Ext <br /> E-Mail Address _ _ __- _-- --- -- --- <br /> Problem Information <br /> Address Z7�1 Street VICTOR PL <br /> From Cross Street <br /> To Cross Street <br /> City ZiP <br /> Subdivision Map Book Map Re(erence <br /> Probiem 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 Intormation <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By � 4.i <br /> Assigned Dale __ To Be Com Date � �. ' <br /> P ^ <br /> Scheduled Date ___ ___ Scheduled Time _ �� � ���.F <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT i S INCH CU�BSTOP TO ,15 1NCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT <br /> Recommended Action <br /> Approved By FBL Fi�'' ' � '����� "�' Jak� Cost Information�Y;�N) <br /> Sfart Dale � r l u.ie Date Completeo en�izo�a Permit No _ <br /> Campleted �y Time Follow Up? <br />