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Work Activity Work Order r��� , <br /> _ __ S�a�za�s a:o� <br /> Issued By HLJ HUSBY,IANCE J. <br /> Issued Departmen'FW PUBUC WORKS <br /> Date Issued a�s��o�s <br /> Fund 4oi Account 5 Progrem Function Achvity <br /> Program UT3473 5 a <br /> Title CONVERi]S INCH 1531 COLBY AVE UT3d73-5-3 <br /> WOfk�fd2f NO 20150956 Pf0)CCf Activiry Type CORRECTIVE MAINTENANCE S18fU5 CL <br /> Status ___ans.�zois Time oros Original WO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) . E� <br /> Second Phone ( ) • E� —.-- -- _- --_--- <br /> E-Mail Address <br /> Problem Intormation — — - - - - - <br /> Address 753� Street COLBYAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Re(erence <br /> Problem WATER WATER <br /> Sub Probiem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Inrtiated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment In(ormatfon <br /> Dept Prionty Eslimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date ____ To Be Comp Date ��ij�%,; <br /> Scheduled Date _ _ _ Scheduied Time '� ���r N��'���; <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONYERT.751NCH CURB STOP TO.75INCH SETTER WITH METER AND DOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By wol W�v[a,D�N� Job Cosl Information(Y/N) <br /> Start Date � i _ Time _ Dale Completed aneizo�s Permit No <br /> Completed By Time Follow Up7 <br />