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'JVork Activity Work Order `'���° ' <br /> 11/17/::Q1S i3 :i7 <br /> ISSUBd By HLJ HUSBY,LANCE J. � � <br /> Issued �epartmentvw PUBLICWORKS <br /> Date Issued taiLio�s <br /> Fund �ot Account s Program Function Actiwry <br /> Program utaua s a <br /> TitIC CONVERi 751NCM J71 AWERSON BLVD UT3a7l�6J <br /> Work Order No Z��SZ�B� PfOf@CI Actiwty Type CORRECTIVE h1AINTENANCE SI0lU5 CL <br /> Status �onrzois Time �a�e Or��inalWO _ Bilhng <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Slreet <br /> Apartment No City <br /> State Z�p <br /> Subdivis�on Change Map YM <br /> Phone No � � • Ext <br /> Second Phane � i • Ext <br /> E-Mad Address <br /> Problem Intormation <br /> _ __ ____. . <br /> Address 331 Street ALVERSON BLVD <br /> From Cross Sireet <br /> To Cross Slreel <br /> City -- Z�p <br /> Subdivision Map Book Map Relerence <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Dale Requested <br /> Agency Related Request <br /> InNated From <br /> Utihty Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Pnority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Dale To Be Comp Date � � v <br /> Scheduled Date Scheduled Time " ���, f � �. <br /> Route Route Sequence � � U <br /> Commcnte <br /> Action Taken CONVERT.TS INCH CURBSTOP TO.751NCH SETTER WITM NE1ER AND 80%.FLAT TO METER <br /> PROGRAM. <br /> Recommended Aetton <br /> Approved By ea� ERICNSON,ANOREW L Job Cost Information(Y/N) <br /> _---- — ---- <br /> Start Date � i T�me Date Completed to�sizots Permit No <br /> Completed By Time Follow Up? <br />