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Work Activity Work Order �='�' ' <br /> ^ ,';i:ais » <br /> _ - -- - -- ----- _ _ . <br /> ISSUed By SJTi SPOONER,JAMES T. <br /> issued Department aw PUBLIC WORKS <br /> Datelssued zrvzots <br /> Fund aot Account 5 Program Function Activity <br /> Prcgram ursa�a s a <br /> T�IIE CONVERT i51NCH 1026 HUCKFR AVE UT34i3-5�7 <br /> WOfk �fd2f NO 20150296 PfOJBCf Activity Type CORRECTNE�.tAINTENANCE S18W5 CL <br /> Statu, v��zcis Time c5ey Original WO Bdling <br /> Customer Information <br /> Customer Name Customer ld <br /> rddress Street <br /> Apartment No City <br /> State Z�p <br /> Subdiv�sion Change Map Y�N <br /> Phone No 1 % • Ext <br /> Second Phone � • Ext - <br /> E-Mail Address <br /> Problem Intormation <br /> Address �pp6 Sireet RUCKF.R AVE <br /> Front Cross S}reei <br /> To Cross Street <br /> Ciry Zip <br /> Subdi��ision �vtap Book h4ap Referencz <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requesled By Date Requested <br /> l�gency Related Request <br /> Irntialed From <br /> Ubhty Locate (USA� No Called Date Expiralion Date <br /> Assiynment Information <br /> Dept Pnonty Cst�mated I lours <br /> Crce✓ <br /> Contractor <br /> Assigned 1b <br /> Assigned By <br /> Assigned Date To Oe Comp Date <br /> Scheduled Dale Scheduted Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP T0.751NCH SETTER WITH M1IETER AND OOX. FLAT TO M17ETER <br /> PROJECT. <br /> Recommended Action <br /> Approved By NLJ HUS[3Y, LANC[J Jcb Cast Information(Y1N) <br /> Start Date � � Tlme Date Completed z��rzots Permit No <br /> Completed By Time Folloe; Up� <br />