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Page 1 <br /> Work Activity Work Order 1Z�11,ZolZ la:=, <br /> ISSU2d By SJT2 SPOONER,JIIMES T. <br /> Issued DepartmentPK' PU9LICWORKS <br /> Date Issued �oiavzo�z pro ram Function Activity <br /> Fund ao1 Account5 9 <br /> Program UT3473 s 3 <br /> Title CONVERT.75 INCH 3303 26TH ST UT3473-23 <br /> Work Order No ZD'IZZ4GH PfOJBCt Activity Type CORRECTIVE MAINTENANCE Sf8tU5 CL <br /> Status �oiavzo�z Time oe2� Original WO Billing ____ <br /> Customer Information Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( ) - Ext __ _ <br /> Second Phone ( 1 - Ext <br /> E-Mai;Address --- -- --- <br /> Problem Information <br /> Address 3303 Street p6TH ST <br /> From Cross Street <br /> To Cross Street ZiP <br /> City <br /> Subdivision Map Book Map Reference <br /> Problem W.4TER WATER <br /> Sub Problem OTHER OTHER Date Requested <br /> Requested By Reiated Request <br /> Agency <br /> Initiated From Ex iration Date <br /> Utility Locate(USA) No Called Date P <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 Ruute Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP T0.751�:CH SETTER WI METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ Hussv,u�Nce�. Job Cost Information(YIN) <br /> Time Qate Completed �tnaixotz Permit No <br /> Start Date i � _— _— <br /> Completed By <br /> – - – -- – Time Follow Up? <br /> � <br />