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Work Activity Work Order <br />�, �.� i <br />�/zs/zo.� e:�, <br />ISSlJBd By SJT2 SPOONER, JAMES T. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued sn2izo�a Pro ram Function Activity <br />Furd qoi Account5 9 <br />Program UT3473 3 � <br />Title CONVERT .75 INCH 2803 18TH ST UT34733-3 <br />WOfk OfdOf NO 2013�2z9 PfOJ2Cf ACtlVlty Ty(Je CORRECTIVE MAINTENANCE <br />Status snzizo�s Time �n:oe Original V'JO _ _ __. Biliing _ <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No � � ' <br />Second Phone � > - <br />E-Mail Address <br />Problern Information <br />Address 2803 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Street <br />Ciry <br />Zip <br />Ext <br />Ext <br />Street �BTH ST <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By <br />Agency <br />Initiated From <br />UHlity Locate (USA) No <br />Assignment Informa[ion <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date __ _ __ <br />Scheduled Date _ <br />Route <br />Comments <br />Map Book <br />Called Date <br />To Be Comp Cate <br />Scheduled Time <br />Route Sequence <br />Cusromer ld <br />"!_ip <br />Change Map YIN <br />Map Referen�e <br />Expiration Date <br />Date Requested <br />Related Request <br />Priority Estimated Hours <br />'t' -��e-, <br />_•i:_..,..4Y ��� ';. '�� <br />`c ... _. , <br />StaWs a <br />Action Taken CONVERT .751NCH CURBSTOP TO .751t�CH SETTER WI METER AND BOX. FLAT TO METER <br />PROJECT. <br />Recommended Action <br />Approved By HLJ HUSBY, LANCE J. JOb COSt II1fOfR18ilOf1(Y/N� <br />Time Data Completed 6!2412013 Permit No <br />Start Date i � -- <br />Completed By Time Follow Up? <br />_. : , . <br />_,, .__ . �., , . <br />