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Work Activity Work Order <br />Issued By s�Tz SPOONER, JAMES T. <br />Issued DepartmentPw PUBLICWORKS <br />Date Issued 61812013 <br />Fund ao� Accounts Program <br />Program UT3477 3 3 <br />TIil2 CONVERT .751NCH 2904 17TH ST UT3473-3-' <br />Work Order No 20131182 Project <br />Status fi!8/2013 Time o5:as Original WO__ <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No � 1 <br />Second Phone ( > <br />E-Mail Address <br />Problem Information <br />Address ygpq <br />Fram Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street 17TH ST <br />Problem WATER VYATER <br />Sub Problem OTHER OTHER <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />CreW <br />Contractor <br />Assigned To <br />P.ssigned By <br />Assigned Date <br />Scheduled Date <br />Route <br />Comments <br />Function <br />Fage i <br />7/3/2013 14:21 <br />Activiry <br />ACflVlfy Typ2 CORRECTIVE MAINTENANCE SfefUS CL <br />Billing _ <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map Book Map Reference <br />Dat2 Requested <br />Related Request <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Priority <br />Expiration Date <br />Estimated Hours <br />,`�r`.. ,.�i:,�.'. � m,����'� <br />Action Taken CONVERT.751NCIi CURB.cTOP 10.751NCH SETTER WITH METER AN� BOX. FLAT TO METER <br />PROJECT. <br />Recommended Action <br />Approved By HLJ HUSBY, LANCE J. JOb COSf IflfOffflafl0fl(Y/N) <br />Start Date i � Time Dale Compieted 6/1 212 01 3 Permit fJo <br />Completed By Time Follow Up7 <br />