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Work Activity Work Order <br />ISSUEdBY SJT2 SPOONER,JAMEST. <br />Issued Departmentrw PUBLICWORKS <br />Date Issued �ns�zo�a <br />Fund qo� Accounts Program <br />Program UT3473 4 3 <br />TIflO CONVERT .75 INCH 1928 VIRGINIA AVE UT3474-03 <br />Work Order No zd140255 Project <br />Sta'.us visrzoia Time oena Original WO <br />Function <br />; <br />zi�: �,.���, : ._.zE <br />Aclivity <br />ACtlViiy Typ2 CORRECTIVE MAINTENANCE <br />Billing <br />Customer Information <br />Customer Name Customer ld <br />Address Street <br />Apartment No City <br />Stale Z�P <br />Subdivision Change Map Y/N <br />Phone No ( ) - Ext <br />Second Phone ( ) - Ext - — <br />E-�dail Address <br />Problem Intormatior <br />Address igpg Street VIRGINIA AVE <br />From Cross Street <br />To Cross Street <br />City Zip <br />Subdivision hlap Book Map Reference <br />Problem WATER WATER <br />Sub Problem OTHER OTHCR <br />Requested By Date Reyuested <br />Agency P.elated Request <br />Initialed From <br />Utility Locate (USA) No Called Date Expiration �ate <br />Assignment Infonnation <br />Dept Priority Estimated Hours <br />Crew <br />Conlractor <br />il;signed To <br />Assiyned Eiy <br />Assigned Date To E3e Cornp Date <br />Scheduled Time °� r''`� 1� f i � � t��` <br />Sr:hcduled Date __ _ <br />Route Route Sequence <br />Connnents <br />Action Taken CONVERT.751NCfi CURUSTOP T0.751NCH SETTER WITIi MCTER AN� 807(. FLAT TO METER <br />PRCJFCT. <br />Recor�mended Action <br />f�pproved By HLJ HUSBY, LANCE J. <br />Start Date � i Time <br />C'om�.!cled L'/ <br />SIaIUS CL <br />Job Cost Information(Y,'N) <br />Date Co!nple,ed vzzncta ---- Permit No <br />Time Fallow U�? <br />