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Work Activity Work Order �'3�` ' <br /> iz;�o�ceis ia �s <br /> ISSU2d BY SJT2 SPOONER,JAMES T. <br /> ISSU2d Department rw PUBLIC WORKS <br /> Date Issued t012 312 01 5 <br /> Fund aot Account 5 Program »p Funchon >>y Actrvity e75 <br /> Program <br /> Ti112 CONVERT 751NCH 8524 E X�VIER WAY 710119675 <br /> WOfk �fdBf NO 20152338 P�OfBCI Adrvity Type CORRECTIVE L:AINTENANCE $IBIUS CL <br /> Sta�us �o�z�rzo�5 Time �5oa Original WO _ _ _ _ Bdling <br /> Customer Information <br /> Cusromer Name Customer id <br /> Address Street <br /> Apar,ment�'o C�ry <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No 1 1 • Exl <br /> Second Phone c l - Exl --- -- " <br /> E•Ma�l Address <br /> Problem liiformation <br /> Address 8524 Street E XAVIER WAY <br /> From Cross Straet <br /> To Cross Slreet <br /> Gty ZiP <br /> Subdrvision Map Book Map Referencn <br /> Prohlem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> ImUaled From <br /> Utihry Locate (USA) No Called Date ExpiraUon Date <br /> Assignment Information <br /> Dept Priordy Eslnnated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date ___ To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Rou;e Route Sequence <br /> Comments <br /> AC�lOf1 TakBfl CONVERT.751NCH CURB STOP TO.751NCH SETTER WITH METER AND BOX.OWNER REOUEST <br /> Recommended Action <br /> Approved By EAL ERICKSON,ANDREW L JOb COSI IflfOffT12li0f1(Y/N� <br /> Start Date � i• Time Uate Completed ton3no�5 Permit No <br /> CompleleA By- - Time _ Fol;ow Up? _ - - - <br />