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Page 1 <br /> Work Activity Work Order s,:;;,��ls ,,::4 <br /> Issued By HLJ HUSBY,LANCE J. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued d11612015 <br /> Fund aot Account s Program Function A�;'���r <br /> Prog�am UT3473 5 3 <br /> Title CONVERT ]S INCH 1421 COLBY AVE UT3473�5-3 <br /> Work Order No 20150970 PfOJECt Activrty Type CORP.ECTIVE MAINTENANC[ St8tU5 CL <br /> Status 4I16R015 Time �z 35 Orig�nai WO _ _ _ B�Iling <br /> Customer Intormation Customer ld <br /> Customer Name <br /> Address Sfreet <br /> Apartment No �'ry <br /> State Z�p <br /> Subdivision Change Map YIN <br /> Phone No ( 1 • Ext _ _ __ __ <br /> Second Phone ( 1 - Ext <br /> E-Mail Address ---- -- -- <br /> Problem Information <br /> Address �qZ� Street COLBYAVE <br /> From Cross Street <br /> To Cross Streel Zip <br /> Clh' <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Dale <br /> Assignment Iniormation <br /> Dept Prionty Estimated Hours <br /> Crew <br /> Contraclor <br /> Assigned To <br /> P.ssigned By To Be Comp Date <br /> Assigned Date ___ — -- <br /> Scheduled Date _ Scheduled Time <br /> Roule Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURB STOP TO.75 INCH SETfER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By Wo� w�+vea,oE1+N� Job Cost Information(Y/N) <br /> — — -- <br /> Time Date Completed aizor2o�s Permit No _ <br /> Start Date i � -- — — <br /> Compleled By Time Follow Up7 <br />