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Page 1 <br /> Work Activity Work Order 6�q/2013 �2:41 <br /> ISSUEd By HLJ HU39Y,LANCE J. <br /> Issued Department rw PUBLIC WORKS <br /> Datr. lssued �is��o�� pro ram Function Activity <br /> Fund �o� Account s 9 <br /> Program utaa3 s � <br /> Tlfle CONVERT.75 INCH 2402 CLEVELAND AVE UT3473-2-3 <br /> Work Order No 20130537 Project Ac�iviry Type CORRECTIVE MAINTENANCE St8lU5 CL <br /> Status <br /> ais�zo�3 Time oe�2 Ori�inal WO Billing <br /> Customer Information Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment No ���y <br /> State Z�P <br /> Change Map Y/N <br /> Subdivision Ext <br /> Phone No � > - <br /> Second Phone � ) • Ext <br /> E•Mail Address <br /> Problem Iniormetlon Street <br /> Address 2402 CLEVELAND AVE <br /> From Cross Sheet <br /> To Cross Street ZiP <br /> City Ma �ook Map Reference <br /> Subdivision p <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER Date Requested <br /> Requesled By Related Request <br /> Agency <br /> Inihatod From Ex iration Date <br /> Utility Locate (USA) No Called Date P <br /> Asaignment Informatlon Priority Estimated Hours <br /> Dept <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By To Be Comp Dale <br /> Assig�ed Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Actlon Taken CONVERT.751NCH CURBSTOP T0.761NCH SETTER WI METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Actlon <br /> Job Costlnformation(YIN) <br /> Approved By BdM2 BEUKERS.GEORGE M - - -- - <br /> Time Date Completed a�t��sois Permit No __ _ <br /> Start Date � � Follow Up7 <br /> Completed By Time <br />