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Work Activity Work Ora�r Pag� 1 <br /> s/�/zois ia:oa <br /> ISSUed By HLJ HUSBY,LANCE J. <br /> Issued Departmentaw PUBLICWORKS <br /> Date Issued at3no�s <br /> Fund ao� Account s Program Function Activfty <br /> Program UT3a7� 5 a <br /> T�Ue CONVERT]S INCH 7809 COLBY AVE UT3473•5-J <br /> Work Order No Z��509Z7 Pro�ect Activity Type CORRECTIVE MIAINTENANCE SI21U5 CL <br /> Statcs an7izo�s Time oa:v Original WO Billing <br /> Customer Information <br /> C�stomer N�me Customer ld <br /> Address Street <br /> Apartment No City <br /> State ZiP <br /> Subdwision Change Map Y/N <br /> Phone No l ) - Ext <br /> Second Phone ( 1 - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address �809 Street COLBYAVE <br /> From Cross Slreet <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reterence <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requesled <br /> Agency Relaled Request <br /> IniGated From <br /> Utility�ocate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Prionty Eslimated Hours <br /> Crew <br /> Coniractor <br /> Assigned To <br /> Assigned 8y <br /> Assigned Date To Be Comp Date F, i• ��;. <br /> Scheduled Date Scheduled Time ��'4��'���� � ,�;� 4'� <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP T0.751NCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved dy HLJ rtusev,inNCE a. Job Cost Information(YIN) <br /> Slart Date i � Time Date Compieted 411JI2015 Permit No <br /> Comp!eted By Time Follow Up? <br />