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Work Activity Work Order �a°� ' <br /> s/zo/zo:s io:ss <br /> ISS�Od By HLJ HUSBY,LANCE J. <br /> Issued Departmentaw PUBLICWORKS <br /> Date Issued aisnou <br /> Fund +o� Account s Program Function ActiWty <br /> Program uraa�a 5 3 <br /> TdIC CONVERT 5 INCH 11 t7 COLBV AVE UT3473-5•3 <br /> Work Order No 20150981 f fOJECt Actrvity Type CORRECTNE MAINTENANCE .SlOiUS CL <br /> Status _ anerzo�5 Time +30� Original WO _ _ Billing __ ___ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No Ciry <br /> State Zip <br /> Subdivlsion Change Map Y/N <br /> Phone No f ) - Ext <br /> Second Phone l 1 - Ext <br /> E-Mail Address <br /> Problem Iniormation <br /> Address »17 Streel COLBYAVE <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 I <br /> Iritiafed From <br /> Utihry Locate (USA) No Called Dale Expiration Date <br /> Assignment Inlormation <br /> Dept Pnonty Estimated Hauis <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date __ To Be Comp Dale _ _ <br /> Scheduled Date Scheduled Time <br /> Roule Route Sequence <br /> Comments <br /> Action Taken �pNVERT .S INCH CURB STOP T0.751NCH SETTER WITH METER AND BOX. FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By wo� weAVEa,or-aN� Job Cost Information(Y/N) <br /> Start Date �i Time D��te Completed 4120l1015 Permit No <br /> Completed By Time Follow Up? <br />