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Fage � <br /> Work Activity Work Order ,, ;,�,1., 10:3A <br /> - - -_ __ _ -- — - <br /> ISSU2d By � SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 312512014 <br /> Fund aoi Account s Program Function Activity <br /> Program UT3473 4 3 <br /> TIfIB CONVERT 75 INGH 2213 23RD ST UT347�.�-A3 <br /> Work Order No 2014075� Pro�ect Activity Type CORRECTIVE MAINTENANCE SiB�US CL <br /> Status 3/25l2014 Time o5:z5 Original WO _ _ ____ Billing _ _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P Chang� Map YIN <br /> Subdivision <br /> Phone No l 1 - Ext _____._ -__ <br /> Second Phone ( 1 • Ext <br /> -- --------- - <br /> E-Mail Address - - - -- - -- <br /> Problem Information <br /> Address py�3 Street y3RD ST <br /> From Cross Street <br /> fo Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATEF' <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Related Request <br /> Agency <br /> Initiated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Inforrnation <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date _ <br /> Scheduled Time � ! '�%� '��� � ���' <br /> Scheduled Date _ _ _ - - - — <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSTOP TO.751NCH SETTER WITH�dETER AND BOX. FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By wo� WEAVER, DEAN L JOb COSf Ifl(OfR18fI0f1(YIN� <br /> ---- <br /> - -- - -- Permit No <br /> Start Date � i Time Date Completed aneizota __ -- <br /> _ __ <br /> -- - <br /> —---- <br /> Campleted By Time Follow Up. <br />