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.� <br /> Work Activity Work Order Page � <br /> s�ia�zoia e:ic <br /> ISSll2d By ^ HW HUSBY,LANCE J. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued �ivzota <br /> Fund aot Account 5 Program Function Activity <br /> Program UT3473 e � <br /> TIHB CONVERT.751NCH 229 BRIDGEWAY UT3473�-3 <br /> Work Order No 20142062 Project Activity Type CORRECTIVE MAINTENANCE Status c� <br /> Status ��uzoia Time ie:oa 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 l ) - Ext <br /> E-Mail Address <br /> Problem Mformation I <br /> Address ppg Street gR/DGEWAY <br /> From Cross Street <br /> To Cross Street <br /> City "Lip <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 Infortnation <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date ���((_� ' <br /> Scheduled Date _ Scheduled Time ._�����`���r�,'r <br /> Route Route Sequence <br /> Commen2s <br /> Action Taken CONVERi.75 INCH CURBSTOP T0.751NCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT <br /> Recommended Action <br /> Approved By H�,d Husev,v�NCe�. Job Cost Information(Y/N) <br /> Start Date i i Time Date Completed �re�za�a Permit No � <br /> Completed By Time Follow Up? <br />