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Wurk Activity Work Order <br />ISSU@d By SJT2 � SPOONER,JAMEST. <br />Issued Departmentaw PUBLICWORKS <br />Date Issued 9161���2 Pro ram <br />Fund aa� Account5 9 <br />Progrem uraa�s z 3 <br />CONVERT .75 INCH 2114 WAL NUT ST UT347J-23 <br />Function <br />Pag,. 1 <br />1��1��2�12 14:54 <br />Activih; <br />Tille <br />Work Order No L0121944 Project Activiry Type CORRECTIVE MAINTENANCE <br />Status eieno�z _ Time oe2e __ Original WU __ _ B��ling ____ <br />Customer Informatfon <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No � > • <br />Second Phone � 1 <br />E-Mail Address <br />Problem Information <br />Address 2114 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem WATER <br />Sub Problem OTHER <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment InFormation <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date _ _ _ ___ <br />Scheduled Date _ __ _ <br />Route <br />Comments <br />Slreet <br />City <br />Zip <br />Ext <br />Ext <br />Street yyqLNUTST <br />Map Book <br />WATER <br />OTHER <br />Called Date <br />To Be Comp Date <br />8�heduled Time <br />Route Sequence <br />Cuslomer ld <br />:hange Map Y/N <br />Zip <br />Map Reference <br />Oate Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />Action Taken CONVERT .75 INCH CURBSTOP TO .75 INCH SETTER WI METER AND BOX. FLAT TO METER <br />PROJECT. <br />Recommended Action <br />Approved By HLJ HUSBY, LANCE J. <br />Start Date � � _ Time _ _ <br />Completed By <br />Job Costlnformation(YIN) <br />Date Completed 9H9@012 _ <br />Time Follow Up7 <br />Status c� <br />Permit <br />