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Work Activity Work Order �°3� 1 <br /> ;/P/2215 8:09 <br /> — _.--.—_______ _--_ ____ ____ _ ._ __ . _ __. <br /> �ssuedBy HW HUSBY,LANCEJ. <br /> Issued Departmentrw PUBLICWORKS <br /> Date Issued an5i2o�5 <br /> Fund ao� Account s Program Function Activity <br /> Program ursa�a s a <br /> TItl2 CONVERT JS INCH 1607 COLBY AVE UT347J-5-3 <br /> WOfk �fdef NO 20150955 PfOJeCI Activiry Type CORRECTIVE h7AINTENANCE St2iU5 CL <br /> Status ansizois Time 0�03 Original WO___ _ Billing _ _ <br /> - — - __ . - - - i <br /> Customer Information <br /> Customer Name Customer ld I <br /> Address Street <br /> Apartment No ���5' <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 - Ext I <br /> Second Phone ( 1 • Ext <br /> E-Mail Address <br /> Problem inforrnation <br /> Address �gp� 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 /> Ager,�y Related Request <br /> initialed From <br /> Utihty Locate (USA) No Called Dale Expiration Date <br /> Assignment Information <br /> Depl Prionty Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By !�iJ � - <br /> Assigned Date To Be Comp Date ���fl��i���r N �;�,+�:, <br /> Scheduled Date Scheduled Time u ��" �"' <br /> Route Route Sequence <br /> Comments <br /> Action Taken LONVERT.75 INCN CURB STOP TO.75 INCH SETfER WITfi METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By WDL W�veti, �enN�. Job Cost Information(Y/N) <br /> Start Date � � Time Date Compieted ansizots Permd No <br /> - - -- <br /> Completed By Time Follow Up? <br />