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Work Activity Work Order a3�� 1 <br /> <, �3r.�.')��_ . :�� <br /> __ .__.. _..___ . <br /> ISSUEd�BY HLJ HUSBY,LANCE J. <br /> Issued Department Pw PUBLIC WORK3 <br /> Date Issued ��sizo+a <br /> Fund 4a� Account s Program Function Activity <br /> Program uTa��a 2 � <br /> TItIQ .CONVERT 75 INCH 2a32 CLEVELAND AVE UT347J-2J <br /> Work Order No 20130545 Project Activity Type COFRECTIVE MAINTENANCE SI3lU5 CL <br /> Status 3i5rzota Time �o o� Original W0 Billing _ ____ ._—_ <br /> Customet Infortnatlon Customer ld <br /> CustomerName <br /> Address Street <br /> ,�partment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No c � • Ext ____. <br /> Second Phone 1 1 • Ext <br /> — ___ <br /> E-Mail Address – – <br /> Problem Intormatlon <br /> Address 2432 Street CLEVELAND AVE <br /> From Cross Street <br /> To Cross Streel <br /> City Zip <br /> S�bdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Reyuested By Date Requested <br /> Related Request <br /> Agency <br /> Initialed From <br /> Utdity 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 <br /> Assigned Date To Be Comp Date <br /> Scheduled Dale Scheduled Time _ ___. _ <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.61NCH CURBSTOP T0.751NCH SETTER WI METER AND 80%.FLAT TO METER <br /> PROJECT. <br /> Recommended Actfon <br /> Approved By HLJ HUSBV LANCE J Job Cost Information(Y/N) <br /> StaR Date i � Time Date Completed 3nenota.,____ Permit No <br /> Completed By Time Follow Up? <br />