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Work Activity Work Order Pa�� 1 <br /> ia/e/zoia ia:a3 <br /> ISSUed BY SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued eiz��zota <br /> Fund aoi Account 5 Program Function Activity <br /> Program uTsa�a s a <br /> TiUE CONVERT.S INCH 18i 1 WET�,IORE AV[UT347J-6�3 <br /> WOfk OfdOf NO ZD�4z�99 PfOJBCI Activity Type CORRECTIVE fdAINTENANCE Sl2lU5 CL <br /> Status e�vizoin Time o5 53 Original WO Billing _ _ __ <br /> Customcr Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) • Ext <br /> Second Phone ( 1 - Ext -- <br /> [-Mail Address <br /> Problem Information <br /> Address �g�l Street yyETMOREAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Rcyuested By Date Requested <br /> Agency Reiated Requesl <br /> Initiated From <br /> Ulility Locate(USA) No Called Date Expiration Dale <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contraclor <br /> Assigned To <br /> Assigned By <br /> Assigned Dale __ __ _ To Be Comp Date _____ _ <br /> Scheduled Dale Scheduled Time __ �r�d���j <" s°n- � �; "�,"�� <br /> Route Route Sequence � � �7~tl ' �� <br /> Comments <br /> Action Taken CONVERT.SINCH CURBSTOP TO.75 INCH SETTER WITH hiETER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved ay wo� wenvErt,oenN� Job Cost Iniormation(Y/N) <br /> Start Date i i Time Date Completed sizaizo�a Permit No <br /> Compleled By Time Follow Up? <br />