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Work Activity Work Order Page � <br /> 5/B/2015 8:15 <br /> ISSUOdBy HLJ -- HUSBY,LANCEJ. --� ---- -- -- - - -�-�--. ..-�-- - <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued aunots <br /> Fund ao� Account s Program function Activity <br /> Program UT347J 5 7 <br /> Title CONVERT]S INCH 1611 COLBY AVE UT3473-5-� <br /> Work Or;ier No 20150954 PfOJCLf ACfIVI�TypE CORRECTIVE MAINTENANCE Sl0►US CL <br /> Status ansrzoi5 T�me o7 oz Or'ginal W0 Billing , <br /> Customer Intormation <br /> Customer Name Cusromer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No 1 ) • Ext <br /> Second Phone ( ) • Ext -- — <br /> E-Mail Address <br /> Problem Information <br /> Address 16» 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 Dale Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate(USA) No Called Date Expiration Dale <br /> Assignment Iniormation <br /> Dept Prionty Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By �, ,o , <br /> Assigned Date _ . _ To Be Comp Date '.�i. ,��t,,�(���� y , +� �-� -, <br /> 'n�7 i'9��t;:i <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURB STOP TO .751NCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By yyo� WEAVER,DEAN L JOb CO51 Ifl(OR11860f1(Y/N) <br /> Start Date � � Time Date Completed ansno�e Permit No <br /> Completed oy Time Follow Up7 � <br />