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Work Activity Work Order F���� � <br /> ----— - ��lo�zois �i:za <br /> ISSUCd By HW HUSBV.LANCE J.--- - - --- -�- �--- - -- --- -- - ---- <br /> Issued Departmentpw PUBLICWORKS <br /> Date Issued a�s��ot5 <br /> Fund eo� Account 5 Program f�nction <br /> Pro ram Activity <br /> 9 UT3173 5 ] <br /> Ti112 CONVERT 75 INCH 1503 COLBY AVE UT34J3-5-3 <br /> WOfk ��dEf NO 20150962 P�Oj2Ct Activlty Type CORRECTIVE MAINTENANCE $18tU5 CL <br /> Status _ ansrlot5 Time oz» Original W0 _ eilhng <br /> Customer Information <br /> Cusiomer Name Customer ld <br /> Address Street <br /> Apartment No Ci�y <br /> State Z�P <br /> Sub�iv�sion Change Map Y/N <br /> Phone No ( ) • Ext <br /> Second Phone ( 1 - Ext ----__ <br /> E-Mail Address <br /> Problem Information — -- <br /> Address 1503 Stree' COLBYAVE <br /> From Cross Street <br /> To Cross Slreel <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WArER <br /> Sub Problem OTHER OTHER <br /> Requested By <br /> Agency Date Requesled <br /> Ind�ated From Related Request <br /> Uhhty Locate (USA) No Called Date Expiration Date <br /> Assiqnment In(ovmation <br /> Dept PrioNty [stimaled Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Asslgned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date ____ Scheduled Tlme <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERi.751NCH CURB STOP T0.751NCH SETT[R WITfi METER AND BOX.FLAT TO ME7ER <br /> PROJECT. <br /> Recommended Action <br /> Approved By vyo� weqveR,o�N� Job Cosl Information(Y/N) <br /> Start Date __r_ i Time _ Oate Completed qN611015 Permit No <br /> Compleled By Time Follow Up? <br />