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Work Activity Work Order page 1 <br /> q;3;�C13 15:12 <br /> Issued By HLJ HUSBY,LANCE J. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued a�si2ota <br /> Fund aot Account 6 Program Function Activity <br /> Program UT747� 2 � <br /> Title CONVERT 751NCH 2101 CIEVELAND AVE UT3479-2-3 <br /> WOfk OfdE�NO 20130588 PfOJ2Ct ACtiVity Typ2 CORRECTIVE MAINTENANCE St0fU5 CL <br /> Status ��5rzo�a Time ia eo Original WO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartmenl No Ciry <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No � � • Ext <br /> Second Phone ( � • Ext <br /> E-Mail Address <br /> Problom Informatlon <br /> AdAress y�p� Street CLEVELANDAVE <br /> from Cross Street <br /> T�Cross Street <br /> City ZiP <br /> Suhdivision Map Book Map Reference <br /> Prublem 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 Dale Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> C rew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Asslgned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Commento <br /> Action Taken CONVERT .751NCH CURBSTOP TO.751NCH 5ETTER WI METER AND BOX FLAT TO METER <br /> PROJEI'�T. <br /> Recommended Action <br /> ,4pproved By HlJ HUSIiY. IANCE J Job Cost Information(Y/N) <br /> Start Da�e i � Time Date Completed anai2o�a Permit No <br /> Ccmpleted Dy Time Follow Up7 <br />