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Work Activity Work Order �3" ' <br /> 5:'d!2�.:] 2:59 <br /> . _ _ _ _— _'_—____' .. ... .._ . . <br /> ISSU2d BY HLJ HUSBY,LANCE J. <br /> Issued Departmentaw PUBLICWORKS <br /> Date Issued a�sno�3 <br /> Fund oot Account s Program F�inction .4ctivity <br /> Program uraaa z a <br /> Title CONVERT]5 INCH 2414 CLEVELAND AVE UT7473-2-3 <br /> WO�k OfdBf NO 20130539 PfOJ2Ct ACliVity TypE CORRECTIVE MAINTENANCE St2tUS CL <br /> $f8fU5 31512017 TifTl@ 09�46 Original WO Bllllfl9 . <br /> Customer Informatlon <br /> CuslomerName Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No � 1 • Ext <br /> Second Phone � ) - Ext - -- — __- --_ _- - <br /> E-Mail Address <br /> Problem Informatlon <br /> Address pq�q Street CLEVELAND AVE <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map Book Map Re!erence <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Relafed Request <br /> InitiateA From <br /> Utility Locate (USA) No Called Date Explr2tion Date <br /> Assignment Informatlon <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To 6e Comp Date <br /> Scheduled Date Scheduled Time _ <br /> Raute Route 3equence <br /> Comments <br /> Action Taken c;pNVERT.S INCH CURBSTOP TO.75 1NCH SETTER WI METER AND BOX.FLRT TO METER <br /> PRO.IECT. <br /> Recommended Action <br /> Approved By HLJ HUSBY,LANCE J JOb COS� If1fOfR10�lOf1(Y/N) <br /> Start Date � � Time Date Completed an9nat�___ Permit No ___ <br /> Completed By Time Follow Up? <br />