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\Nork Activity Work Order p'°° 1 <br /> 5/4.'2013 13 :^_�1 <br /> ISSUEd BY HLJ HUSBY,LANCE J. <br /> Issued Departmentaw PUBLIC WORKS <br /> Date Issued zisizo�a <br /> Fund �ot Account 5 Pmgram Function Activity <br /> Progr:n UT7477 2 3 <br /> TIIIB CONVERT 751NCH 2410 CLEVELAND AVE UT.1473•2-J <br /> Work Order No 20130538 f fOJBCI Activity Type CORRECTIVE MAINTENANCC- $18�115 CL <br /> Status a�5�zou Time os aa Ori inal WO Billing ____ _ _________— <br /> --�---------- — -- <br /> Customer Iniormatlon <br /> CustomerName Customer ld <br /> Address Street <br /> Apartrr�ent No Ciry <br /> State Z�p <br /> Subdivision Change Map Y/N <br /> Phone No ( ) • Ext __—_ <br /> Second Phone <br /> � . Ext ----- --- — — <br /> E-MailAddress __—-_--_ ---------- — <br /> Problem Information <br /> Address 2410 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 /> Agency <br /> Related Request <br /> Initiated From <br /> Utility Locate(USA) No Called Date Expiratio� Date <br /> Assignment In�o►mation <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contrector <br /> Assigned To <br /> Assigned By <br /> Assigneo Date _ . __ To Be Comp Date ___ . _ <br /> Scheduled Date Scheduled Time _ ____ _ <br /> Routa Ro�te Sequence <br /> Comments <br /> Action Taken CONVERT.5 INCH CURBSTOP TO.16 INCH SETTER WI METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HW Nusev,�nnr�ce� Job Cost Information(Y/N) <br /> __------ Permit No <br /> Slart Date � i Time _ Date Completad aise�so�a <br /> Completed By Time Foliow Up? <br />