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Work Activity Work Order <br />Page 1 <br />8/12/2016 13:16 <br />ISSU@d BY HLJ HUSBY, LANCE J. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 6/29/2016 <br />Fund ao� Account s Program Function Activity <br />Program UT3473 �o s <br />Title CONVERT .75 INCH 1427 100TH ST SW #47 UT3473-10-3 <br />Work Order No 20161725 Project Activity Type CORRECTIVE MAINTENANCE <br />Status 6/29/2016 Time o8:zo Original WO Billing <br />Customer Information <br />Customer Name <br />Address Street <br />Apartment No City <br />State Zip <br />Subdivision <br />Phone No ( ) - Ext <br />Second Phone ( ) - Ext <br />E-Mail Address <br />Problem Information <br />Address 1427 �� Street 100TH ST SW <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision Map Book <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No Called Date <br />Assignment Information <br />Dept <br />C rew <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 INSTALLED .75 INCH SETTER WITH METER & BOX. <br />FLAT TO METER PROGRAM. <br />Recommended Action <br />Approved By WDL WEAVER, DEAN L. <br />Start Date i � Time <br />Completed By <br />Customer ld <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />Job Cost Information(Y/N) <br />Date Completed 6/29/2016 <br />Time Follow Up? <br />Status c� <br />Permit No <br />