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Work Activity Work Order Pag� 1 <br /> 5/20/2015 1G:43 <br /> __ _ _—. . —_—_ ____ _ ____ . _.___ _ __ _ _ _— <br /> ISSl1Ed By HLJ HUSBY,LANCE J. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued �norzo�s <br /> Fund �o� Account s Program Function Activ�ry <br /> Program uraa�s s a <br /> Tifl2 CONVERT ]S INCH 1021 COLBY AVE UT3473-5�3 <br /> Work Order No 20150999 Project Activity Type CORP.ECTIVE IdAINTENANCE StaWs c� <br /> Status <�zono�s Time +a 5a Or�ginal WO BilGng <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No Gity <br /> State �ip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone 1 ) - Ext -- <br /> E-Mail Address <br /> Problem Information <br /> Address �py� Street COLBYAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WAfER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Irntiated From <br /> Utility Locate (USA) No Called Date Expiration Dale <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To De Comp Dale _ <br /> Scheduled Dale Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURB STOP TO.75 INCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By NLJ HuSev, v,NCe d Job Cost Information(Y/N) <br /> Start Date � � Time Date Completed ai2�no�s Permit No <br /> Completed E3y Tlme Follow Up? <br />