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�ll/�rk Activity VUork Orde� <br />ISSt18d By SJT2 SPOONER, JAMES T. <br />Issued Departmentaw PUBLICWORKS <br />Date Issued 11113/:013 <br />Fund no� Accouni5 Program <br />Program JT3A77 a 3 <br />TIfIB CONVERT .751NCH 2716 i6TH ST 1iT3473-3-3 <br />Work Order No 20133652 Project <br />Status 11I73I2013 Time .z:2s Original WO <br />1=unction <br />Paa�:: � <br />�zi,Fi�o!s S:�a <br />Activity <br />Activity Type CORRECTIVE MAINTENANCE S[21US CL <br />Billing <br />Customer Information <br />Customer Name Customer ld <br />Address Street <br />Apartment No City <br />State Zip <br />Subdivision Change Map Y/N <br />Phone Plo ( ) - Ext _ <br />Second Phune ( ) • Ext <br />E-Ma:l Address <br />Problem Information <br />Address 271g Street �6TH ST <br />From Cross Street <br />To Cross Street <br />City Z�P <br />Subdivision Map Book Map Reference <br />Problem WATER WATER <br />S�b Froblem 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 Information <br />Dept Priority Estimated Hours <br />Crew <br />Ccntractor <br />Assigned To s y � s <br />Assigned By ?�.,p'� �-: ;>; i], �= a �� �.� � �. - <br />A�signed Date To Be Comp Date <br />Scheduled Date Scheduled Time __ _ <br />Route Route Sequence <br />Comments <br />Action Taken CONVERT .75 INCH CURf3STOP'f0 .751NCH SETTER WITH METER AND BOX. FLAT TO METER <br />PROJECT. <br />Recommended Action <br />P,pproved By WDL WEAVER, GEAN L. <br />Start Date � � Time <br />Completed By <br />Job Costlnformation(Y/N) <br />Date Completed �v�ano�3 __ Permit No <br />Time Follow Up? <br />