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Page '- <br /> Work Activity Work Order _ _ _ _ 3„.,2�_,__2:03 <br /> ______ -- - - ---- — <br /> ISSU?d BY SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued zn2�2o�a Account s Program ��o Function �t9 Activity s�s <br /> Fund ao� <br /> Program <br /> TIfIB CONVERT.75 RdCH 5010 23RD AVE W 710119675 <br /> 20130349 PfOJBCf Activity Type CORREC7IVE MAINTENANCE St8tU5 CL <br /> Work Order No Billin - <br /> StaWs znz�zoia Time �2:az Original WO _ ____ g------ <br /> Customer Information Customer ld <br /> Customer Name Street <br /> Address <br /> Apartment No City <br /> State Z�p Change Map Y!N <br /> Subdivision Ext <br /> Phone No � � - — ---- - --- <br /> Second Phone ( > - Ext <br /> E-Mail Address --- -- -- ---� <br /> Probiem Information Street Z3RD A VE W <br /> Address 5010 <br /> From Cross Street <br /> To Cross Street Zip <br /> City Map Book Map Reference <br /> Subdivision <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated From Called Date Expiration Date <br /> Utility Locate (USA) No <br /> Assignment Information Priority Estimated Hours <br /> Dept <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By To Be Comp Date <br /> Assigned Date _._ __ --— <br /> Scheduled Date __ _____ Scheduled Time _____ <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSTOP TO.75 INCH SETTER WITH METER AND 90X.OWNER RE�. <br /> Recommended Action <br /> Job Costlnformation(Y/N) _ <br /> Approved By WDI. WEAVER,DEAN L. — P@ffTllf NO <br /> Start Date � i Time ___ Date Completed sn�2o�3_____ --- <br /> - -- Follow U � <br /> Time P .---- — <br /> Completed By _ _. -- ---- — - <br />