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Work Activity Work Order �age 1 <br /> 6/4/2013 13:17 <br /> ._..____.. __ ... <br /> ISSU2d BY HLJ HUSBV,LANCE J. <br /> Issued Department rw PUBLIC WORKS <br /> Date Issued a�enou <br /> Fund 40� Account 6 Program Function Activity <br /> Program UT3477 � � <br /> Titl2 CONVERT 751NCH 2502 CLEVELAND AVE UT347�-2-3 <br /> WOfk Ofd2� NO 20130543 ProjCCt ACtiVity TyF2 CORRECTIVE MAINTENANCE Steltl5 CL �� <br /> $f81U5 J�5/2019 TIR1B 09 58 �fl If181 uV0 _ _ _____ BIIIIf19_ __._ _ _ __— <br /> _9 ___ _ <br /> Customer Iniormation <br /> CustomerName Customer ld <br /> Address Street <br /> Apartment No Ciry <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No � � - Ext <br /> _--- —------ <br /> Second Phone � 1 • Ext <br /> E-Mail Address _._.____---—_---------- <br /> Problem Iniormation <br /> Address 2502 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 /> Utitity Locate(USA) No Called Date Expiration Date <br /> Assignment Informatlon <br /> Dept Priority Estimated Hours <br /> C rew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date __ <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Actlon Taken CONVERT.751NCH CURBSTOP TO.751NCH SEttER WI METER AND 80%. FLAT TO METER <br /> PROJECT. <br /> Recammended Action <br /> Approved By HLJ HUSBY LANf.EJ Job Costlnformation(Y/N) <br /> Start Date � i Time _ Date Completed uvso��___ Permit No <br /> Completed By Time Follow Up7 <br />