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?:�n i <br />Work Activity Work Order z��y,,�.3 5:�, <br />- - -_ ------ ---- _ <br />ISSU2d�By SJT2 SPOONEFi, JAMES T. <br />Issued Department Pw PUBLIC WCRKS <br />Date Issued rvtz�zo�a <br />Fund qo� Account s Program <br />Program UT3473 3 3 <br />Tlfl@ CONVERT 751NCH 2821 16 ST UT34733-3 <br />Work Order No 20133632 Project <br />Status ivivzuis l"ime �2:n5 Original WO <br />Customer Information <br />Customer Name <br />Addre::s <br />Apartmant No <br />State <br />Subdivision <br />Phone No � � <br />Second Phone � 1 <br />E-Mail Address <br />Problem !nformation <br />Address 2821 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street �6THST <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignmen: Information <br />Dept <br />C rew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Dat� ___ __ <br />Scheduled Date _ <br />Route <br />Comments <br />Fu�ction Activity <br />Activity Type CORRECTIVE MAINTENANCE <br />Billing _ <br />M2p Book <br />Caled Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Custemer ld <br />Zip <br />Prioriry <br />Change Map Y/N <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Estimated Hours <br />.n..i4 •9ry-. <br />'. f ::d'i 6yt <br />�� A� d �ti, ;� .�' i� Y <br />Action Taken CONVERT .75 INCH CUR�STOP TO .75 INCH SETTER WITH METER AND BOX. FLAT TO METER <br />PROJECT. <br />Recommended Action <br />S(2(US CL <br />Approved By Fs� FistieR, eoeov �. Job Cost Information(Y/N) <br />Time Date Completed tvzsizo;a Permit No <br />Start Date / ! - <br />Completed By Time Follow Up? <br />