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Work Activity Work Order ?''` ` <br /> � :a ��c�._ a :a� <br /> ISSU2d By HLJ HUSBY,LANCEJ. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued zneizo�a <br /> Fund aot Account s Program �ia Function �iy Activiry e75 <br /> Program <br /> TiilE CONV[RT i5 INCN 20i CAPRI PL <br /> WOfk OfdBf NO 20130500 PfOJECf Acticitq Type CORRECTIVE MAWTENANCE Sl0fU5 CL <br /> Status v2enoia Time oes� Ongmal WO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartmenl No Cdy <br /> State Z�F <br /> Subdivision Change Map Y/N <br /> Phone No � � - Ext <br /> Second Phone � � Ext <br /> E-Mail Address <br /> Problem Information <br /> Address pp7 Slreet CAPRIPI_ <br /> From Cross Street <br /> To Cross Streel <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> SubProblem OTHER OiHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated Frum <br /> Utihry Locate (USA) No Called Date Expiration Date <br /> Assignment Informatfon <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contraclor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route i'oute Sequence <br /> Comments <br /> Action Taken CONVERT .751NCH SERVICE TO SETTER WI METER BOX AND JUMPER <br /> Recommended Action <br /> APp�OVE?d By WDL WEAVER, DEAN l ,lOb COSf IflfOffl�all0fl(Y/N) _ _ <br /> Start Date r r Time Date Completed aivmia Permit No <br /> Ccmpletea By Time Follow Up? <br />