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Work Activity Work Order Pa9e 1 <br /> 4/3/2013 15:05 <br /> ISSU2d By HLJ HUSBY,LANCE J. <br /> Issued Departmenl Pw PU&.IC WORKS <br /> Date Issued a�siso�a <br /> Fund 4ot Account s Program Function Activity <br /> Program urana s :+ <br /> TIIIQ CONVERT]5 INCH 2401 CLEVELAND AVE UT3473-2�] <br /> WOfk Ofd@f NO 2:•130572 PfOJOCI ACtiVify Typ@ CORRECTIVE MAINTENANCE StaIUS CL <br /> Slatus 3/5/2013 Time �<oi Original WO Billing <br /> Customer Iniormatlon <br /> Cusro.ner Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No c ) - Ext <br /> Second Phone ( 1 • Ext <br /> E-Mail Address <br /> Problem Informatlon <br /> Address 2401 Streat CLEVELANDAVE <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 /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assfgnment Informatlon <br /> Dept Priority Estimated Hours <br /> Crew <br /> Cc�lractor <br /> Assig�ed To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments 'i <br /> AcUon Taken CONVERT .5 iNCH CURBSTOP TQ 751NCH SETTER WI METER AND BOX.FIAT TO METER II <br /> PROdECT. � <br /> Recommended Actfon <br /> Approved By RJP RAFELVEA JASON P Job Costlnformation(Y/N) <br /> Start Oate � � Time Date Completed amzo�a___ Permit No _ _ _ <br /> Completed Dy Time Follow Up? <br />