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i <br /> Work Activity Work Order Pa9e � <br /> s�zs�zoiz ii:ss <br /> ISSUBd BY SJT2 SPOONER,JAMES T. � <br /> Issued Departmenl aw PUBLIC WORKS <br /> Oate Issued anvzou <br /> Fund ao� Account 5 Program »o Function t�e Activity 675 <br /> Program <br /> TItIE CONVERT.5 1NCH 1927 WETMORE AVE 710119675 <br /> WOtk Ofd2f NO 20120551 PfOJBC� Activiry Type CORRECTIVE MAINTENANCE St8iU5 CL <br /> Status antnotz Time tz:2s Original WO Billing _ <br /> Customer 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 ( ) - Ext <br /> E-Mail Address __ _ —_ <br /> Problem Informatlon <br /> Address �gy7 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 /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept V'riority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date _ __ To Be Comp Date _ _ <br /> Scheduled Date Scheduled Time ____ <br /> Route Route Sequence I <br /> Comments <br /> Action Taken REPLACE.5 INCH CURBSTOP WITH.75 INCH SETTER,METER AND BO%.OWNER REQ. <br /> Recommended Action <br /> Approved By soc SMITH,DAVID G. JOb COSt IflfOff118�1Of1(Y/N) <br /> Start Date � � Time Date Completed a�s�so�z Permit No <br /> Compieted By _ _ _ —_-- ----- Time __ FollowUp? -- <br />