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Work �ctivity V11ork Order <br />-- – _ <br />__--- --- <br />ISSU2d By SJT2 SPOONER, JAMES T. <br />Issued Departmentaw PUBLICWORKS <br />Date Issued 511 612 01 3 p�o ram <br />Fund ao� Accounts y <br />Program CONVF_ftT 751NChl 29 6 17TH ST UT34733-3 <br />Title <br />Work Order No 20130991 Pro�ect <br />Status ensizo�s Time is:ao Original WO_ <br />Customer Information <br />Customer Name <br />Address <br />Apariment No <br />State <br />Subdivisinn <br />Phone Nu � > ' <br />Second Phone � � - <br />E-Mail Address <br />Problem Information <br />Address 2916 <br />Fram Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Street <br />Ciry <br />Zip <br />Ext <br />Ext <br />Street 17TH ST <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Uept <br />C rew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date __ <br />Scheduled Date ___ <br />Route <br />Comments <br />Activity Type <br />Map Bool< <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Function <br />Customer ld <br />Zip <br />Priority <br />Paae '- <br />6/iz/zoi3 4:i� <br />Activity <br />CORRECTIVE MAINTENANCE Sf2ItJS CL <br />Change Map Y/N <br />PAap Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Estimated Hours <br />Action Taken CONVERT 75 1NCH CURBSI'OP T0 .75 1NCH SETTER WITH PdETER AUD BOX. FLAT TG METER <br />PROJECT. <br />Recommended Action <br />Approved By HLJ HUS6Y, LANCE J JOb COS� Il1fOfR12IlOf1(Y/N) <br />Time Date Completed siz3not3 _ Permit No <br />Start Date __ _! __! -- — Time Follow Up? <br />C;mpleted By <br />