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Work Activity Work Order �'9� ' <br /> s�e�zois e o <br /> ISSUBd By HLJ HUSBY,LANCE J. <br /> Issued Department vw PUBLIC WORKS <br /> Date Issued ansnots <br /> Fund ao� Account 5 Program Function Actiwry <br /> Program uTsua 5 a <br /> TItIE CONVERT �5 iNCH 7515 COLBV AVE UT3473•5-3 <br /> Work Order No 20�5�95a PfOJOC� Activity Type CORRECTIVE M1AAINTENANCE St2tU5 CL <br /> Slatus _ __ 4nsrzo�5 Time o�oe Original WO _ Billing <br /> Customer Infortnation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartmenl No Ciry <br /> Slale Zip <br /> Subdivision Change Map Y/N <br /> Phone No l 1 • Ext <br /> Second Pho�ie ( ) • Eat ` - -- --- — <br /> E-Mad Address <br /> -- --- - — - <br /> Problem Information <br /> Address 75f5 Street COLBYAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Ini6ated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Intormation <br /> Dept Prionry Estimated Hours <br /> Crew <br /> Contractor <br /> Ass�gned To <br /> Assigned By j'� ��ja���;' �f��t� <br /> Assigned Date To Be Comp Date � . s. _. <br /> Scheduled Date Scheduled Time <br /> Route Roule Sequence <br /> Comments <br /> Action Taken CONVERi.751NCH CURB STOP TO.75�NCH SETfER WITH ME7ER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By Vyp� wenveR, oenN�. Job Cost Information(Y/N) <br /> Start Date � � Time Date Completed 4H61t015 Permit No <br /> Compleled By Time Follow Up? <br />