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Work Activity Work Order � ' <br /> Lsued By SJT2 SPOONER,JAME51 <br /> Issued Departmentaw PUBLIC WORKS <br /> Date Issued erzzzo�a <br /> Fund aot Account s Frogram Funch^,r r'�ct�v t; <br /> Program unan s � <br /> TdlO CGNVCRi 5 iNG'� 17t 7 VJEitJORE AVE UT1A7J$�3 <br /> Vdo�� praer P!o 20142756 Pro�ect Act�v�r� 7yp� ceaaEcrn��r,eF�r�rrn4r;ce S;an,s c� <br /> Sta'us P,�C7:9•s Tim[ '.55� Or���^al '.'VO B�D�cq <br /> Cuslomcr Information <br /> Customer Name G.s:cT<r Ir, <br /> Address S�'�'"-' <br /> Aoarment ho C�;; <br /> State Z F <br /> SubOivision Cn.;nge t;ar, v,�: <br /> Phone No � � • ert <br /> Second Phone � ! • `-�1 " <br /> E•fda�t Address <br /> Problem In(ormation <br /> Aa�ress 1717 Stre�t yyETM.ORE AVE <br /> From Cross Street <br /> To Cross S!reet <br /> City i� <br /> Subdiwsion GSaG �cck L'ar Na'�..��;c <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Da�e ���.c,,��:t•:y <br /> agency a�.�.�,,:; �.e�.:H,,. <br /> Iriliated From <br /> Utdiry Locate �USA) No Caued Date Expirat�on Date <br /> Assignment Information <br /> DEpt P� r,r�;y F<t n,,�'�:d rir:�.as <br /> Crew <br /> Contractcr <br /> Assigned io <br /> Assignec I3y <br /> Assigned Date To Be Comp Datc _ <br /> Scheduled Dale Scheduled Timc _ <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.511lCN CURBSTOP TO]5 MCH S[TT[R VlITI� 'dETER A1J0�OX FLAT TO t6E1[R <br /> PROJECT. <br /> Recommended Action <br /> Approved Dy wo� �v[AVER,DE�N L Job Cost InfortnaUon(Y/N) <br /> Start Date i i Tlme __ _ _ Date Completed 9itano�a _ _ Perm�t No <br /> Completed By Time Foilow Up� <br />