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W'ork Activity Work Order page 1 <br /> �2����20�2 �a:�� <br />, ISSUed By SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued �ono�zo�z <br /> Fund qo1 Account 5 Program Function Activity <br /> Program UT3473 z 3 <br /> TIf10 CONVERT.75 INCH 3119 25TH ST UT3473•2-3 <br /> WOfIC OfdP.(�d0 20122322 PfOJ2CI Activity Type CORRE�TIVE MA�NTENANCE St8fU5 CL <br /> Status ionoizo�z Time �s:33_Original WO _ _ Billing_ ___ _ ____ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> f'hone No ( ) - Ext --_------- ----- <br /> Second Phone ( ) • Ext <br /> E-Mail Address _ - — <br /> Problem Information <br /> Address 3119 Street 26THST <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 /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment �.�formation <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 Route Sequence <br /> Com-nents <br /> Action Taken CONVERT.75 INCH CURBSTOP TO.75 INCH SETTER WI METER AND BOY..FLAT TO METER <br /> PROJECT. <br /> Recomn�anded Action <br /> Approved By HLJ HussY,v+NCE J. Job Cost Information(YIN) _ <br /> Start Date i i Tm.e __ Date Completed ton�izot2 Permit No <br /> Completed By Time Follow Up? <br /> 7 <br />