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Work Activity Work Order ''�=�� - <br /> ii/:s/:o�a :�:zo <br /> Issued By SJT2 SPOONER,JAh1E5 T. <br /> Issued Department aw PUBUC WORKS <br /> Date Issued 8/27/2014 <br /> Fund aot Account s Program Function Activity <br /> Program uraan 6 3 <br /> TIflO CONVERT 5 INCH i BOS WETMORF AVE UT3473-6-3 <br /> V�brk Order No 2��4280� PfOfeCt Actiwty Type CORRECTIVE htAINTENANCE SiB1u5 CL <br /> Status emncta Time o55a Origmal WO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No Ci;y <br /> State Zip <br /> Subdrvision Change Map Y/N <br /> Phone No l 1 - Ext <br /> Second Phone ( ) - Ezt <br /> E-N�ail Address <br /> Problem Information <br /> Address igas Street �yETMOREAVE <br /> from Cross Sireet <br /> To Cross Street <br /> City Zip <br /> Subdivision Map 13ook hdap Reference <br /> Problem WATER WATER <br /> Sub P�oblem OTHER OTHER <br /> Reques!ed By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> UUhty Locate(USAI No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priunry Estimated Hours <br /> Crew <br /> Coniractor <br /> Assigned To <br /> Assigned By <br /> Assigned Datc _ _ To Be Comp Date <br /> Scheduied Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CGNVERT.S INCH CURBSTOP TG 75 1NCH SETTER WITH LIFTER AND BOX.FLAT TO METLR <br /> PROJECT. <br /> Recommended Aclion <br /> Approved By wo� W�VER D[AN L Job Cost InformaGon(Y/N) <br /> Start Date r � Time Date Completed y�z3�zo�a rermit No <br /> Completed By Time Follow Up7 <br />