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23GC 1 <br /> Work Activity Work Order 6�le��o1, 4:,, <br /> ISSl12dBY SJT2 SPOONER,JAMEST. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued snai2o�� <br /> Fund aot Account s Program Functior. Activiry <br /> Program UT347J s 3 <br /> TIilB CONV[RT.75 INCH 2914 VICTOR PL UT3473-3-7 <br /> Work Order No 20131046 Project Activiry Type coRaecriv� r.�awreNnNce Status c� <br /> Slatus 5rz3no�3 Time �e:�s Original WO__ _____ Billing _ _ _ <br /> Customer Information Customer ld <br /> Customer Name <br /> Hddress Slreet <br /> Apartment No City <br /> Stale Z�P <br /> Subdivision Change Map Y/N <br /> PhoneNo ( ) - Ext __ _ ------ <br /> Second Phone l ) - Ext <br /> E-Mail Address _ _ --- -- ------- <br /> Problem Information <br /> Address Zg�4 Street VICTOR PL <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 /> Re uesled 8 Date Requesled <br /> q Y Related Request <br /> Agency <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 Dy <br /> Assigned Date ___ ___ To Be Comp Date <br /> Scheduled Date ___ Scheduled Time _ _ <br /> Route Route Sequence <br /> Comments <br /> Aelion Taken c.GNVERT.751NCH CURBSTOP T0 751NCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> i�CpfOVE'd By HLJ Husev,i.nNce�. Job Cost Information(Y/N) <br /> Time Date Completed 6131201J Permit No ___ <br /> Start Date � �_ -- — <br /> Completed By Time Follow Up? <br />