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Work Activity Work Order `'�` ` <br /> t,;t:/:ets t4 �.an <br /> ISSU2d By HLJ HUSBV,LANCE J. <br /> Issued Departmentpw PUBLICWORKS <br /> Date Issued tonnofs <br /> Fund �ot Account s Proyram Funchon Actiwty <br /> Program uram e � <br /> T�tIB CONVFRT 151NCH 217 AWERSON BLVD UT347J�6 J <br /> Work Order Ne 20�52�84 PfOJBCI Acdwry Type CORRECiNF. MAINTENANCE $I81US CL <br /> Status iorzr2o�s Tlme �a za Ongmal WO Billing <br /> Customcr InlarmaUon <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No ���Y <br /> State Z�P <br /> Subdiwsicn Change Map Y/N <br /> Phone No ( � • Ext <br /> Second Phone � � • Ext <br /> E-Mail Address <br /> Problem Info►mation <br /> Address p�� Sirect qLVERSON BLVD <br /> From Cross Street <br /> To Cross Street <br /> Gty Lp <br /> Subdiwsion Map Book A1ap Reference <br /> Problem WATER WATER <br /> Sub Prablem OTHER OTHER <br /> Requested By Date Requcsted <br /> Agency Related Request <br /> IniUated From <br /> Uldity Locate(USA) No Called Date Expiratwn Date <br /> Assignment Inlormation <br /> Dept Pnonty Es!imaled Hours <br /> C rew <br /> Contractor <br /> Ass�gned To <br /> a - <br /> Assigned By t • � . ,� <br /> Assigned Dale To Be Comp Date r "' ��': ' � r- T F <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERI.751NCH CURBSTOP TO]S INCH SEiTER WITH MFTER AND BOX. FLAT TO METER <br /> PROGRAM. <br /> Recommonded Action <br /> Approved By EAL ERICKSON,AN�REW L Job Cost Information(Y/N) <br /> Start Date � i Time Date Completed �oreno�s_ . Permd No _ <br /> Completed By T�me Follow Up� <br />