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Work Activity Work Order �>3C�� 1 <br /> , l��si-^o1.; s: �5 <br /> ISSl12d BY SJT2 SPOONER,JAMES T. — <br /> Issued Departmen(pw PUBLICWORKS <br /> Date Issued yi�nzo�a <br /> Fund aot Account 5 Program Function Acfivity <br /> Program UT3473 6 3 <br /> TIUe CONVER i JS INCH 14?2 WETMORE AVE UT3473-6�3 <br /> 6Vork Order No 10142959 Project Activiry Type coRRecrive rfnwtENaNce Status c� <br /> Status _ 9n�noia Time ossa Original WO Bdling <br /> Customer Information <br /> Cus;omer Name Cuslomer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y!N <br /> Phone No ( ) • Ext <br /> SecandPhone ( ) - Ext ___ ._ —___ <br /> E-Mail Address <br /> Problem (nformation --- - --------- _ _ <br /> Address 1432 Street yyETMOREAVE <br /> Fram Cross Street <br /> Ta Cross Street <br /> City Zi� <br /> Subdivision Map 9ook Map Reference <br /> Prablem WATE.4 WATER <br /> Sub Problem OTHER OTHER <br /> Requested By <br /> Agency Date Requested <br /> In�tiated From Related Request <br /> Utdity Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priorit <br /> Crew Y Estimaled Hours <br /> Contractor <br /> Assigned To <br /> Assigned Dy <br /> Assigned Dale _ _ _ To Be Comp Dale <br /> Scheduled Date ._ Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP T0.75INCH SEiTER WITfI METER AND 80%.f-LAT TO METER <br /> PROJECT. <br /> Recommended Ac[ion <br /> AF, :oved By HSG HOLLO, SANUAL Job Costinformation(Y/N) <br /> Slart Date i i Time ___ Date Completed �oizeno�a Permit No <br /> Compleled By Time <br /> Follovd Up? <br />