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Woric Activity Work Order �'�=� = <br /> s/e/aois e:�_ <br /> ISSUBdBy SJT2 SPOONER,,.AMEST. <br /> Issued DepartmenlPw PUBLIC WORKS <br /> Datelssued anazo�s <br /> Fund �p� Account 5 Program Function Activ�ry <br /> Program utaa�a s a <br /> Title CONVERT JS INCH 1705 COLBY AVE UT3473�5-3 <br /> Work Order No 20150947 Pro�ect Activity Type CORRECTIVE tdAMTENANCE StaWs c� <br /> Siatus _ anaao�s Time is�� Onginal WO Biiling _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No C�ry <br /> Stale Zip <br /> Subdiwsion Change Map Y/N <br /> Phone No � ) - Ext <br /> Second Phone ( ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 1705 Street COLBYAVE <br /> From Cross Street <br /> To Cross Streel <br /> City Zip <br /> Subdrvlsion Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requesled By Date Requested <br /> Agency Related Request <br /> Initialed From <br /> UtiGty Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimaled Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date ___ To �e Comp Date _ �ti�;y a� ?� ��� �}�3�?E"' <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT .751NCH CURBSTOP T0.751NCH SETT[R WITH METER AND BOX. FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By NLJ HUSBY,LANCE J JOb COSf Ifl(Ofrt18li0f1(Y/N) <br /> Start Date i r Time Date Completed ans��o�s Permit No <br /> Completed By Time Follow Up� <br />