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Work Activity Work Order <br />ISSU2d By HLJ HUSBY, LANCE J. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 4/26/2016 <br />Fund ao� Account 5 Program <br />Program UT3473 � 3 <br />Title CONVERT .75 INCH 727 33RD ST UT3473-7-3 <br />Work Order No 20161195 Project <br />Status 4/26/2016 Time os:�s Original WO <br />Function <br />Page 1 <br />6/23/2016 9:03 <br />Activity <br />Activity Type CORRECTIVE MAINTENANCE StBtUS CL <br />Billing <br />Customer Information <br />Customer Name Customer ld <br />Address Street <br />Apartment No City <br />State Zip <br />Subdivision Change Map Y/N <br />Phone No ( ) - Ext <br />Second Phone ( ) - Ext <br />E-Mail Address <br />Problem Information <br />Address 72� Street 33RD ST <br />From Cross Street <br />To Cross Street <br />City Zip <br />Subdivision 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 Date <br />Assignment Information <br />Dept Priority Estimated Hours <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date _ To Be Comp Date _ _ <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken CONVERT .75 INCH CURBSTOOP TO .75 INCH SETTER WITH METER AND BOX. FLAT TO METER <br />PROGRAM. <br />Recommended Action <br />Approved By EAL ERICKSON, ANDREW L. <br />Start Date i i Time <br />_ ...---.._--- - <br />Completed By <br />Job Cost Information(Y/N) <br />- -- -- -- -... <br />Date Completed 5/2/2016 Permit No <br />----- --- - <br />Time Follow Up? <br />