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Work Activity Work Order <br />_----- <br />ISSU2d BY SJT2 SPOONER, JAMES T. <br />Issued DepartmentPw PUBLICWORKS <br />Date Issued 1 012 3/20 7 3 pro ram <br />Fund aot Accounts 9 <br />Program ursa�a 3 3 <br />TIiIB CONVERT.51NCH12'.�VIRGINIAAVEUT3473-33 <br />Work Order No 20133438 Project <br />Status �oizsno�3 _ Time tz:aa Original WO ___ <br />Function Activity <br />Activity Type CORRECTIVE MAINTENANCE Si2fU5 CL <br />-- Billing _ <br />Customer Information Customer ld <br />Customer Name <br />Address Street <br />ApaRment No ��ry <br />State Z�p <br />Subdivision Change Map Y/N <br />Phone No ( 1 - Ext __ _ <br />Second Phcne � 1 - Ext <br />E-Mail Address -- - <br />Probl^m Information <br />Address 1815 Street VIRGINIA AVE <br />; rom Crass Street <br />Ta Cross Street ZiP <br />City <br />Subdivision Map Book Map Reference <br />Problem WATER WATER <br />Sub Problem OTHER OTI�ER Date Requested <br />Requested By Related Request <br />Agency <br />Initiated From Ex iration Date <br />Utility Locate (USA) No Called Date P <br />Assignment Information Prioriry Estimated Hours <br />Dept <br />Crev✓ <br />Contractor <br />Assigned To ; `; ,_'� ; _ ^.;? r' r;i <br />Assigned Ry To Be Comp Date <br />Asigned Date _ — - <br />Scheduled Date ___ Scheduled Time __ __ <br />Route Route Sequence <br />Comments <br />Action Taken CONVERT .51NCH CURBSTOP TO .751NCH SETTER WITH METER AND BOX. FLAT TO METER <br />PROJECT. <br />Recommended Action <br />!•,pp� OYCd By HLJ HUSBY, LANCE J. <br />Start Date i � Time _ <br />Completed �y <br />Job Cost Information(Y/N) <br />Date Completed �m2eimta _ Permit No <br />Time Follow Up? <br />