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Work Activi�y Work Order <br />ISSU2d BY SJTT SPOONER, JAMES T. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued �ai3uzota <br />Fund ao� Account s Program <br />I'�ogram Ur3a7a a 3 <br />T�dJe COVVERT ]S INCH 7702 VIRGINIA AVE UT3473-33 <br />�'dork Order No 20133532 Project <br />Status 70/31/2013 Time �62� Original WO <br />Funciion <br />i',�. �� i <br />;i; :,t_ :��:;: <br />Actit � ry <br />Activiry Type CORRECTNE MAINTENANCE <br />Billing <br />Customer Information <br />�ustomer Name Customer ld <br />Address Street <br />Apartment No Cily <br />State Z�P <br />tiubdivision Change Map Y/N <br />Phone No ( ) • Ext <br />Se:;ond Phone ( I - Ext <br />f_ Mail Address <br />Problem Information <br />Address 170p Slreet VIRGINIA AVE <br />From Cross Slreet <br />To Cross Street <br />City Z�P <br />Subdivision Map �ook Map Reference <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Status c� <br />Requesled By Dale Requesied <br />Agency Related Request <br />initiated From <br />� 161ity Locate (USA) No Called Date Expiration Dale <br />F�ssignment Intormation <br />���n� Prioriry Eslimated Hours <br />t: rew <br />i;ontraclor <br />Assigned To <br />Ac9 Y <br />signed Date To Be Comp Date � i.;�� �� t— ��_ R'� �. �� <br />Scheduled Date Scheduled Time _ _ <br />Ruute Route Sequence <br />Comments <br />Action Taken CONVERT 75 INCH CURBS70P TO 75INr,H SETTER WITH METER AND �OX. FLAT TO METER <br />PROJECT. <br />Recomme�ided Action <br />Approved By HLJ HUSBY, U1NCfl J <br />Start Dale � i Time <br />Completed f3y <br />Job Costlnformation(Y/N) <br />Date �ompleted tvtanot� Permil No <br />Timc Follow Up? <br />