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V'.�ork Activity Work Order : : <br />ISSUed By SJT2 � SPOONER,JAMEST. <br />Issued Departmentrw PUBLICWORKS <br />Date Issued �o�vso�2 <br />Fund aot Account s Program �to Function >>y Activity s�s <br />Program <br />TIIIB CONVERT ]5 INCH 119 75TH 5T SW 710119675 <br />Work Order No 2��22254 PfOJBC� Activiry Type CORRECTIVE MAINTENANCF Sl0fU5 PR <br />Status io�v2oi2 Time �<z2 Original WO __ Billing __ <br />Customer Information <br />Customer Name Customer ld <br />Address Street <br />Apartment No City <br />State Z�P <br />Subdivision Change Map Y/N <br />Phone No � 1 • Ext <br />Second Phone � � • Ext <br />E-Mail Address <br />Problem Iniormation <br />Address ��g Street 75THSrSW <br />From Cross Street <br />To Cross Street <br />City Zip <br />Subdrvision Map Book Map Reference <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By Date Requested <br />Agency Related Request <br />Initiated From <br />Utility Locate (USA) No Called Date Expiration Oate <br />Assignment Iniormation <br />Dept Pricnty Estimaled Hours <br />Crew <br />Conlractor <br />Assigned To <br />Assigned By <br />Assigned Date To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Route SeGuence <br />Comments <br />Action Taken REPLACE ]51NCH CUR�STOP WITH .i S INCH �ETTER WITH METER AND BOX. FLAT TO <br />METER OWNER RE�. <br />Recommended Action <br />Approved By <br />Slart Date � � <br />Completed f3y � � (r- <br />Job Costinformatio�(Y/N) <br />Time Date Completed �V ��_ �/_� Permit No <br />Time Follow Up7 <br />.� <br />. <br />