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Work Activity Work Order ° °°�- = <br /> .z,�_�:^_ia i: �<: <br /> ISSUC'd BY HLJ HUSBY,LANCEJ. � <br /> Issued Department pw PUBLIC WORKS <br /> Catelssued ��nano�a <br /> Fund qo� Accounl5 Program FuncGon Actwty <br /> Program uran�a e a <br /> Titl2 CONVERT 751NCH 113000LBYAVE UT3473�6�� <br /> Work Order No 20143373 Project Actrvity Type CORRECTI'✓E IanuvTr NaNCF Staus c� <br /> Status _iiiaizo�a Time o9�o Onqinal WO ptli ng <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Slrcet <br /> Apartment No Cdy <br /> State Z�p <br /> Subdivision Change Map YrN <br /> Phone No ( ) • Ext <br /> Sacond Phone ( 1 � E�R - <br /> E•Mad Address <br /> Problem Information <br /> Address 1130 Street COLBYAVE <br /> From Cross Street <br /> To Cross Street <br /> City 7_ip <br /> Subdiwsion Map Book 1�1ap Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> i UUlity Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority EsUmated Iiours <br /> Crew <br /> Contraclor <br /> Assigned ?o <br /> Assigned By <br /> Assigned Dale To f3e Comp Date _ <br /> Scheduled Date _ Scheduled Time ,r"""� °'�'� +�k s'` r ;+; � f=:,r��. <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCN CURBSTOP i0 ]S INCH SETIER WITH fd[T[R ANO BOX. FLAT TO�d[TER <br /> PROJECT. <br /> Recommended Action <br /> Approved By wo� wenvert o�nN� Job Cost Informalion(Y/N) <br /> Start Date i i Time Date Completed ��n�izo�a Perm�t No <br /> Completed By Time Follow Up� <br />