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c-age 1 <br /> Work Activity Work Order e,�„�1, B:o� <br /> ISSUBd By� � SJT2 SPOONER,JAMES T. <br /> Issued DepaRment Pw PUBLIC WORKS <br /> Date Issued 6112@013 Activit <br /> Fund ao� Accounts Program Function Y <br /> Pf0(�f8fi1 UT3473 3 3 <br /> TItl2 CONVERT.75 INCH 2808 VICTOR PL UTJ473-3-3 <br /> WO�k OfdO�NO 20131243 PfOJBCt ACflVlty TyP2 CORRECTIVE MAINTENANCE Sl8tU5 CL <br /> Status enzrzoi3 Time �a 3a Original WO _ _____ _ Billing <br /> Customer Iniormation Customer ld <br /> Customer Name <br /> Address SVeel <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No � � - Ext _ _ <br /> Second Phone ( ) • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 2808 Street VICTOR PL <br /> From Cross Street <br /> To Cross Street ZiP <br /> City <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER Date Requested <br /> Requested By �telaled Request <br /> Agency <br /> Initialed From <br /> Ulility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Depl Priority Es'�mated Hours <br /> Crew <br /> Contractor <br /> Assigned To �� � <br /> Assigned By �p G'��F��- <br /> Assigned Date __ _ _ _ To Be Comp Date _ <br /> Scheduled Date _ Scheduled Time __ <br /> Route Route Sequence <br /> Comments <br /> Action Taken (;ONVERT.75 INCH CURBSTOP TO.751NCH SETTER WI METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approvcd By HLJ HUS�Y,IANCE J JOb C051 Ifl(OffT10GOf1(Y/N� <br /> � � Time Date Completed ��e�zot3 Permit No <br /> StartDate - -- --- <br /> Completed By Time Follow Up? <br />