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Work Activity Work Order <br />ISSU@d BY HLJ HUSBY, LANCE J. <br />Issued Department Pw PUBLIC WORKS <br />Page 1 <br />5/24/2016 10:09 <br />Date Issued 4/5/2016 <br />Fund ao� Account s Program Function Activity <br />Program UT3473 � s <br />Title CONVERT .75 INCH 1011 39TH ST UT3473-7-3 <br />Work Order No 20161040 Project Activity Type CORRECTIVE MAINTENANCE <br />Status 4/5/2016 Time os:o� Original WO 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 1011 Street 39TH 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 />Assi ned Date To Be Comp Date � <br />Sch duled Date _ Scheduled Time _ ��� �'� � � <br />Route Route Sequence � �'� ' � r <br />Comments �� � <br />� �>• <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 WDL WEAVER, DEAN L. <br />Start Date i i Time <br />_ _ <br />Completed By <br />Job Cost Information(Y/N) <br />Date Completed ais�2o�s <br />Time Follow Up? <br />Status c� <br />Permit No <br />