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Work Activity Work Order P�4e 1 <br /> s/za/zais ii :�s <br /> ISSl1CdBy HLJ HUSBY,LANCEJ. � <br /> Issued Department rw PUBLIC WORKS <br /> Date Issued 417612015 <br /> Fund �ot Account s Program Function Accivity <br /> PfO9f8�'1 UT3473 5 1 <br /> TIfl2 CONVERT.75 INCH 1425 COLBY AVE UT7473•53 <br /> Work Order No Z0�50969 PfOJ2Cf Activiry Type CORRECTIVE MAINTENANCE Sf8tU5 CL <br /> Status 4I1612015 Time >> se Original WO_ Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�p <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 • Ext <br /> Second Phone c ) • Ext -- - - <br /> E-Maii Address <br /> Problem Information <br /> Address �qZg Street COLBYAVE <br /> From Cross Street <br /> To Cross Street <br /> Ciry Zio <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested 6y Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Util�ty Locate (USA) No Called Date Expiration Date <br /> Assignment In(ormation <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp �ate _ <br /> Scheduled Date Scheduled Time _ <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURB STOP T0.75 INCH SETTER WITH METER ANO BOX.FLAT TO MEiER <br /> PROJECT. <br /> Recommended Action <br /> Approved By WDL '�'EEnveR.D[AN � Job Cosl Informatian(Y/N) <br /> Start Date i i Time Date Completed ansnots __.__ _ Permit No <br /> Completed By Time Follow Up? <br />