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Work Activity Work Order pa9e 1 <br /> 8�14�2014 8:12 <br /> Issued By Hu HUSBY,LANCE J. <br /> Issued DepartmentPw PUBLICWORKS <br /> Datelssued 7ivzot4 <br /> Fund �o� Account s Program Function Activity <br /> Program ur3a�s 4 3 <br /> Title COIJVERT.751NCH 2D1 BRIDGEWAY UT3473-43 <br /> Work Crder No 20142066 Project Activiry Type CORRECTIVE MAINTENANCE Slatus CL <br /> Status �nnota _ Time isi9 Originai WO _ _ Billing _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map YIN <br /> Phone No ( ) - Ext <br /> Second Phone ( ) - Ext — – -" <br /> E-Mail Address <br /> Problem Information <br /> Address pp� Street BRIDGEWAY <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTNER OTHER <br /> Requested By Date Requesfed <br /> Agency Related Request <br /> Initiated From <br /> Ulility Locate(USA) No Calied Date Expiration Date <br /> Assignment Infortnation <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contrector <br /> Assigned"fo <br /> Assigned By <br /> Assigned Date ___,_ To Be Comp Date _ ' af W�-� S� <br /> Scheduled Date Scheduled Time �� {� ��������"�'� <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP TO.751NCH SETTER WITH METER AND BOX.FLAT TO METEfi <br /> PROJECT <br /> Recommended Actior� <br /> Approved By HL.I HUSBY,LANCE J. JOb COSf InfOrtT18�i0f1(Y/N) <br /> Start Date � � Time Date Completed �reizota _ Pertnit No <br /> Comp!eted By Time Folbw Up? <br />