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Work Activity Work Order <br />ISSU2d By HLJ HUSBY, LANCE J. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 5/16/2016 <br />Fund ao� Account 5 Program <br />Program UT3473 � s <br />Titl@ CONVERT .75 INCH 612 34TH ST UT3473-7-3 <br />Work Order No 20161301 Project <br />Status 5/16/2016 Time os:33 Original WO <br />Function <br />Page 1 <br />7/19/2016 9:00 <br />Activity <br />Activity Type CORRECTIVE MAINTENANCE StatUS 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 612 Street 34TH 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 CURBSTOP 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 />Date Completed 5i��i2o�s Permit No <br />Time Follow Up? <br />