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Work Activity Work Order Fa9� 1 <br /> a/�/zot3 is:a� <br /> _ __ <br /> ISSUCd By HW � HUSBY,LANCE J. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued 31512011 <br /> Fund aot Account 5 Program Function Activity <br /> Program uTaa�a x � <br /> TIIIE GONVERT]5 INCH 2701 CLEVELAND AVE UT747J�2J <br /> WOfk OfdBf NO 20130579 PfOjeCf ACliVlty TypE CORRECTIVE MAINTENANCE St0ft15 CL <br /> Status ais�zo�a Time ta 2a Original WO Bill;ng <br /> Customer Informatlon Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment No Ciry <br /> State Z�p <br /> Subdivision Change Map Y/N <br /> Phone No l � • Ext <br /> Second Phone � 1 • Ext <br /> E-Mail Address <br /> Problem Informatlon <br /> Address 2301 Street CLEVELAND AVE <br /> From Cross Street <br /> To Cross Street <br /> City ZiP <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Related Request <br /> Agency <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By To Be Comp Date <br /> Assigned Date <br /> Scheduled Uate Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP T0.751NCH SETTER WI METER AND BO%.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> AppfOV2d By RJP �PELYEA. JASON P. �Ob C.OSI IflfOff118110f1(YIN) _ <br /> Start Date i i Time Dale Completed a�ei�au Permil No___ <br /> Completed By Time Follow Up? <br />