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Work Activity Work Order ?a�� _ <br /> 37 , ..__ .��.56 <br /> —__—_ __ _ . ____._. _ _._--_ ___ _ . __ . " <br /> ISSIJEd BY SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued ���tzrzo�s <br /> Fund aot Accounts Program Func6on Aciwity <br /> Program uTaan 6 3 <br /> Title CONVER7 75INCH 1206 WET1.10RE AVE UT3473 6 3 <br /> WOfk Ofdef NO 2��435?� P�OJBCI Actrvity Type GORRECTIVE h1AINTENANCE SlBlUS CL <br /> S�atus �znzrzota Time u a5 Onginal WO Bdling <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> Stale Zip <br /> Subdlvision Change Map YiN <br /> Phone No ( ) • Ext <br /> Second Phone � ! • Ext -- — — – <br /> E-Mad Address <br /> Problem Infarmation <br /> Address 1Y06 Street yyETMOREAVE <br /> From Cross Street <br /> To Cross Street <br /> Crty Zip <br /> Subdiwswn Map Book Map Reterence <br /> Problem WATER WArER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Aaency Related Request <br /> Initiated From <br /> UUhty Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Depl Pnonry Eshmated Hours <br /> Crew <br /> Contractor <br /> Assigned io <br /> Assigned By <br /> Assigned Date ____ _ To Be Comp Date <br /> Scheduled Date Scheduled Time _ y!y ;,`� � �� N; � ,� -1� �� ,,, <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CUROSTOP TO JS INCH SETTER WITM METER ANO BO%.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By woL �v�VcR, DHAN L Job Cost Information(Y/N) <br /> Start Date i r Time Date Completed z�v2o�s Perm�t No <br /> Completed By Time Follow Up? <br />