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Work Activity Work Order Page � <br /> s�zo�zois ii :�9 <br /> - — - - - ------- — <br /> ---- --- - - -__ __ - - -- — <br /> ISSUE'd By HLJ Hl1SBY,LANCEJ. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 4H512015 <br /> Fund �o� Account s Program Function Activity <br /> Program uraa�a 5 3 <br /> TIUC CONVERT 751NCH 1505 COLBY AVE UT3473-5-3 <br /> Work Order No 20�5�96� PfOJECf Activiry Type CORRECTIVE MAINTFNANCE Sf2lU5 CL <br /> Slatus __ ans2ois Time o� �s__ Original WO _ _ _ _ Biilmg _ _ <br /> Customer Iniormation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No Ciry <br /> State Zip <br /> Subdivision Change Map YIN <br /> Phone No ( 1 • Ext <br /> Second Phone ( ) - Ext <br /> E-Mad Address <br /> Problem Iniormation <br /> Address 1505 Street COLBYAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Ciook Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Reiated Request <br /> Initiated From <br /> Utdity Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Prionty Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date _ <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Actfon Taken CONVERT.751NCH CURB STOP TO.75 INCH SETfER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By yyp� WEAVER,DEAN L Job Cost Information(Y/N) <br /> Start Date i � Time Date Completed ansnois Permit No <br /> Campieted By Time Foliow Up? <br />