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Work Activity Work Order <br />Page 1 <br />12�11�2�12 1�:51 <br />ISSUOd By SJT2 SPOONER, JAMES T. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued to�3t�zot2 <br />Fund aot Account 5 Program Function Activity <br />Program UT3473 2 a <br />TItIB CONVERT.751NCH 2424 STATE 6T UT3473•2•3 <br />Work Order No 20122465 PfOJBCt Activity Type CORRECTIVE MAINTENANCE <br />Status to�3vzo�z Time o9:zt_ Original WO ___ Billing_ ___ <br />Customer Information <br />Customer Name <br />Address <br />ApartmentNo <br />State <br />Subdivision <br />Phone No � <br />Second Phone ( <br />E-Mail Address <br />Problem Information <br />Address 2424 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street STATE ST <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date _ _ _ <br />Scheduled Date _ _ <br />Route <br />Comments <br />Customer ld <br />Change Map YIN <br />Zip <br />Map Book Map Reference <br />Date Requested <br />Related Request <br />Called Date Expiration Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Prioriry Estimated Hours <br />Action Taken CONVERT .75 INCH CURBSTOP TO .75 INCH SEttER WI METER AND BOX. FLAT TO METER <br />PROJECT. <br />Recommended Action <br />APpfOV@d By HLJ HUSBY, LANCE J. <br />Start Date � � <br />-- — — <br />Completed By <br />� <br />Status a <br />Job Cost Information(Y/N) <br />Time Date Completed t�naiso�2 Permit No <br />Time Follow Up? <br />