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Work Activity Work Order `''�n ' <br /> =i�i:r,�� ti� �� <br /> ISSUBd By HLJ � HU56V,LANCE J <br /> Issued Department Pw PUBL�C WORKS <br /> Datelssued ansnais <br /> Fund ao+ Account s Program Function Activlry <br /> Program uraua s 3 <br /> TifIB CONVERT 751NCH 1617 COLBY AVE UT3473•5-7 <br /> WOfk �f�('f NO 2U150953 PfOJECI Activity Type CORR[CTIVE MAINTENANCE Sf8tI15 CL <br /> Status ui,no�s Timeoess OriginalWO _ _ Billing <br /> ` —-- - - <br /> Customerintortnallon <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No ��b <br /> Slale Z�P <br /> Subdivision Change Map Y/N <br /> Phone No l 1 • Ext <br /> Second Phone ( 1 - Ext —— <br /> E-�dail Address <br /> Problem Iniormation <br /> Addn�ss 1817 Street COLBYAVE <br /> _From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdrvisron Map Book Map Reference <br /> Problem �VATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Inlhaled From <br /> Utility Locate(USA) No Cailed Date Expiration Date <br /> Assignment Inlormation <br /> Dept Priority [stimated Hours <br /> Crew I <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date ,� .,.,, <br /> Scheduled Date Scheduled Time 7� ���������`�]�-3 F:` <br /> Roule Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURB STOP T0.151NCH SE7TER WITH METER AND OOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By wo� W�vER,o�nN� Job Cost Information(Y/N) <br /> Slart Date i i Time Date Completed u�5�zots _ Permit No _ <br /> Completed By Time Follow Up? <br />