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Work Activity Work Order pdge 1 <br /> 9/5/2G11 9:20 <br /> ISSUBd By SJT2 SPOONER,JAMES T. <br /> Issued Department�nr PUBLIC WORKS <br /> Datelssued v�vzo�t <br /> Fund ao� Account s Program �to Function »y Activity 875 <br /> Progrem <br /> Tltl@ CONVERT 4304 THOMSON AVE 770119675 <br /> Wark Order Wo Z���Q45Z PfOJ2Cl Activity Type CQRRECTIVE MAINTENANCE S�2tUS CL <br /> Status 3mizon Time o5:a� Original W0 Billing <br /> Customer Iniormation <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 Information <br /> Address 430q Street THOMSON AVE <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <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 Cailed Date Expiration Date <br /> Assignment Iniortnatfon <br /> Dept Priority 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 Raute Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP T0.751NCH SETTER WITH METER AND BOX.OWNER RE�. <br /> Recommended Action <br /> APPlOv2d By SDG SMITH,DAVID G. JOb COSt If110frt18110f1(Y/N) <br /> Start Date i � Time Date Completed snt�zott _ Permit No <br /> Completed By _ _ _ _ _ _ Time __ Follow Up? <br /> y3 <br />