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Page 1 <br /> Work Activity Work Order 3�19izoia ia:os <br /> ISSt1Ed BY SJT2 SPOONER,JA!.�ES T. <br /> Issued DepartmentPw P'JBLICWORKS <br /> Date Issued ��ZB�Z0�4 Function Activity <br /> Fund aot Account s Program <br /> Program UT3473 a a <br /> TIfl2 CONVERT.5 INCH 2318 2'.iTH S�f UT3473-4-3 <br /> Work Grder Nc 2��4�34� PfOJeCI Activity Type CORRECTIVE MAINTENANCE St8tU5 CL <br /> Status vzerzo�a Time o5:3� Original WO Billing <br /> Customer Info:mation Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment No City <br /> State Z�P Change Map Y/N <br /> Subdivision <br /> Phone No ( ) • Ext _ -----_---- <br /> Second Phone ( 1 - Ext <br /> E-Mail Address - .------- ----- <br /> Problem Information <br /> Address Y3�g Street 25TH ST <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivisic�i Map Book Map Reference <br /> Probi�ra WATER WATER <br /> Sub Frobirm OTHER OTNER <br /> Date Requested <br /> Requested By Related Request <br /> Agency <br /> Init:ated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignm�nt Information <br /> Dept Priority Estimated h;ours <br /> C rew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date ___ _ ___ To Be Comp Date _ ______ �� ,.,. <br /> Scheduled Date ScheduledTime __ ` �M1�y^a ; <br /> i Route <br /> Route Seqeence ` � �-� �° <br /> Comments <br /> Action Taken CONVERT.5 INCH CURBSTOP TO.75 INCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By BRP BIGLEY,RYAN P. JOb COSI IflfOffTlBtlOf1(Y/N� <br /> - - Time Date Completed znmzo�a Permit No <br /> Start Date i ! --- — <br /> Completed By Time Follow Up? <br />