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Work Activity Work Order Page 1 <br /> 4/]/2013 15:02 <br /> Issued By HLJ HUSBY,LANCE J. <br /> Issued DepaRment rw PUBLIC WORKS <br /> Date Issued aisi2aia <br /> Fund ao� Account 5 Program Function Activity <br /> Program uraa» z a <br /> TIIIQ CONVERT 75 INCH 2511 CLEVELAND AVE UT3473•2-] <br /> Work Order No 20130567 PfOJ2Cf Activity Type CORRECTIVE MAINTENANCE $18fU5 CL <br /> Status J�5�2013 Time t3 a� Original WO Billing _ .__ <br /> Customer Information <br /> Cuslomer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No l 1 • Ext <br /> Second Phone l � - Ext <br /> E-Mail Address <br /> Problem Inlormatlon <br /> Address 4511 Street CLEVELANDAVE <br /> From Cross Street <br /> To Cross Street <br /> City ZiP <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignmenl Informatlon <br /> Dept Prioriry Estimated Hours <br /> Crew <br /> Conlractor <br /> Assigned T� <br /> Assigned By <br /> Assigned Dale To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Commenls <br /> Actfan Teken CONVERT .5 INCH CURBSTOP TO.751NCH SETTER WI METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recammended Actfon <br /> Approved By RJP RAPELYEA.JASON P Job Cost Information(Y/N) <br /> Start Date � i Time Date Completed �mto�a_ Permit No <br /> Completed By Time Follow Up7 __ _ _ <br />