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Page 1 <br /> Work Activity Work Order q/3/2013 �5:ze <br /> ISSU@d By HLJ HUSBY,LANCE J. <br /> Issued Department aw PUBLIC WORKS <br /> Date issued ans�2u�� <br /> Fund aot Account 5 Program Function Activity <br /> Program UT347] s � <br /> Title CONVERT.751NCH 1603 CHESTNUT ST UTJ473•23 <br /> WOfk OfdBf NO 20130684 Project Activity Type CORRECTIVE MAINTENANCE St0fU5 CL <br /> Status �rnno�a Time o�aa Original WO Billing __ <br /> Customer Iniormatlan Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment No Ciry <br /> State Z�p <br /> Subdivision Change Map YIN <br /> Phone No l ) - Ext _ _ . <br /> Second Phone l 1 • Ext <br /> E-Mail Address - - <br /> Problem Information <br /> Address 1603 Street CHESTNUT ST <br /> From Cross Street <br /> To Cross Street ZiP <br /> City <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER Date Requested <br /> Requ=sted By Related Request <br /> Agency <br /> Initialed From <br /> Utility Locate (USA) No Called Dale Expiration Date <br /> Assignment Informatlon <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By To Be Comp Date <br /> Assigned Date <br /> Scheduled Date Scheduled Time _ I <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVEkT.761NCH CURB STOP T0.751NCN SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT <br /> Recommended Action <br /> Approved By HLJ HUSBY,LANCE J Job Cost Information(YIN) _ __ <br /> Start Date i � Time Date Completed anysota .__ Permit No <br /> Completed By Time Follow Up7 <br />