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Work Activity Work Order <br />ISSUBd By SJT2 SPOONER, JAMES T. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 2I51201] <br />Fund aot Accounts Program <br />Program UTJ47J z a <br />TIllB CONVERT .75 INCH 1830 SUMMIT AVE UT3473-2-3 <br />Work Order No 20130295 Project <br />Status zisnot3 Time io:3e Original WO _ <br />Function <br />Page i <br />3/6/2013 ia:zs <br />Activity <br />ACHVity TypB CORRECTIVE MAINTENANCE <br />Customer Informatlon <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 ( 1 - Ext __ <br />Second Phone ( ) • Ext — <br />E-Mail Address __ _ __ <br />Problom Information <br />Address 1830 Street SUMMITAVE <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 />Utiliry Locate (USA) No Called Date Expiration Date <br />Assignment Informatfon <br />Dept Priority Estimated Hours <br />Crew <br />Contractor <br />Assianed To <br />Assigned By <br />Assigned Date To Be Comp Date <br />Scheduled Date _ Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken CONVERT .75 INCH CURBSTOP TO .75 INCH SETTER WI METER AND BOX. FLAT TO METER <br />PROJECT. <br />S�8W5 CL <br />Recommended Action <br />ApPfOVQd By WDL WEAVER, DEAN L. .:Ob COS[ IflfOffilBtlOf1(Y/N) _ <br />- -- - - Permit No <br />Start Date � i Time Date Completed yaizots __ _____. <br />Completed By Time Follow Up? <br />