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Work Activity Work Order Page ' <br /> 4/J/2013 15:00 <br /> ISSUBd By HLJ HUSBY,LANCE J. � <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 31512017 <br /> Fund ao7 Account s Program Function Activity <br /> Program UT3473 2 3 <br /> TINB CONVERT 71NCH 2521 CLEVELAND AVE UT3473-2-7 <br /> WOfk Ofd2f NO 20130558 PfOJ2Cf ACtiVIIy TypC CORRECTIVE MAINTENANCE Sf0f115 CL <br /> Status 3/5/2013 Time �05o OriginalWO Billing <br /> Customer Information <br /> Customer Name 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 c 1 - Ext <br /> E-Mail P.ddress <br /> Problem Information <br /> Address YSy� Stree CLEVELAND AVE <br /> From Cross Street <br /> To Cross Street <br /> City Z�p <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From i <br /> Utiliry Locate (USA) No Called Date Expiration Date I <br /> Assignment Iniormation � <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To 8e Comp Date <br /> Scheduled Date Scheduled Time __ <br /> Route Route Sequence <br /> Comments <br /> Actlon Taken CONVERT.751NCH CURBSTOP T0.761NCH SETTER WI METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By RJP RAFELYEA.JASON P .lOb COSf If1fOfR18fI0f1(l�/N) _ <br /> Start Date � i Time Date Compieted a�sizots Permit No ___ <br /> Completed By Time Follcw Up? <br />