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Work Activity Work Order �'��� ' <br /> _ s/2o/2cis io:ao <br /> Issued By HLJ HusBv,LANCE J. <br /> Issued Department Pw PUBLIC WORKS <br /> Datelssued cnonots <br /> Fund �a� Account s Program Function Activity <br /> Program uTa~�a s a <br /> Tltlf? CONVERT 75 1NCH 1019 COlBY AVE UT3473-5•3 <br /> Wo(k Ord2f NO 2��5�0�� PfOj2Ct ACtiVl1Y TypQ CORRECTIV[MAINTENANCE St8tu5 CL <br /> StaWs 4no;zois Time �a se Original WO 6illing <br /> Customer Information <br /> Customer Name C,ustomer ld <br /> Address S,reet <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( l • Ext - - - --- <br /> E-Mait Address <br /> ro lem Information <br /> -- - _ ._ <br /> Address �p�g Street COLBYAVE <br /> From Cross Stree1 <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 Related Request <br /> Initiated From <br /> Utiiity Locate (USAj No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority [stimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned 8y <br /> Assigned Date _ __ _ To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURB STOP T0.751NC:H SETTER WITH METER ANO BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved �y ry�� iiusav.�nNce d. Job Cost Information(Y/N) <br /> Start Dafe __i � _ Time Date Completed amna�s Permit No <br /> Compieted By Time Follow Up? <br />