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Work Activity Work Order Page � � <br /> s/ao/zois io:�: � <br /> — - - ------ - - — --- -- --- - - — <br /> Issued By HLJ HUSBY,LANCE J. I <br /> Issued Department Pw PUBUC WORKS ' <br /> Date Issued 4H612075 <br /> Fund 4ot Account s Program Function Actiwty <br /> Program UT3173 s a <br /> Title CONVERT J51NCH v09 COLBY AVE <br /> WOfk OfdOf NO 10150982 PfOJBCI Acliviry Type CORRECTIVE MAINTENANCE SIB1U5 CL <br /> St2tIl5 4/16R075 Tirt1B 13�.03 On9if101 WO Bdhng <br /> Customer Information <br /> Cu�tomer Name Customer ld <br /> A7dress Street <br /> Apartment No Ciry <br /> Slate Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 - Ext <br /> Second Phone t ) • Ext <br /> E-Mad Address <br /> Problem Information <br /> Address �ipg Street COLBYAVE <br /> From Cross Street <br /> To Cross Street <br /> Ciry zip <br /> Subdiwsion Map Book Map Reference <br /> Prcblem WATER WATER <br /> S�b Problem OTHER OTHER <br /> Requested By Date Requested <br />, Ageocy Related Request <br /> Initiated From <br /> Utdity Lo�ale (USA) No Called Date Expiration Date <br /> Assignment Iniormaticn <br /> Dept Prionty Estimaled Hours <br /> Crew <br /> Contractor <br /> Assigned Ta <br /> Assigned By <br /> Assigned Dale _ __ To Be Comp Date _ _ <br /> Scheduied Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURB STOP TO.75INCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By wD� wenvert,oUN� Job Cost Information(Y!N) <br /> Start Date i � iime Dale Completed <izanou Permit No <br /> Completed By Time Follow Up? <br />