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Work Activity Work Order � " ' � <br /> � : z. : _:5 e �•, <br /> _ _-- — <br /> ISSUCd By NLJ HUSBY,LANCE J. � <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued s�Joizo�s <br /> Fund ao� Account s Program Functior Activiry <br /> Program UT3473 6 3 <br /> Tiile CONVERT .75 INCH 1814 COLBY AVE UT?4)3�6-3 <br /> Work Order No 2��52�45 Pf0�0C� Actiwry Type CORP.ECTIVE IdAINTENANCE Staf�S CL <br /> Status Q�ao�2ois T�me oeoe Onginal WO Bdling <br /> Customcr Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivis�on Change Map Y/N <br /> Phone No ( � - Ext <br /> Second Phone ( , • Exl <br /> E-Mail Address <br /> Problem Information <br /> Address �g�q Street COLBYAVE <br /> From Cross Street <br /> To Cross Street <br /> City -- ZiP <br /> Subdwision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Datc Requested <br /> Agency Related Request <br /> Inihatcd From <br /> Uhl�ty Locate(USA) No Called Date Expiration Date i <br /> Assignment Informalion � <br /> Dept Pnonty Estirnated Hours � <br /> Crew <br /> Contractor <br /> Assigned To <br /> Ass�gned By <br /> Assigned Date To Be Comp Dale � 1, ,; <br /> ,� : � <br /> :_ _ `. �; . . , <br /> Scheduled Date Scheduled T�me <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONV[RT.751NCH CUROSTOP T0.751NCH SEtTER WITH METER AND BO%. FLAT TO MET[R <br /> PROGRAM. <br /> Recommended Action <br /> Approved By EAL GRICKSON,ANDREW l Job Cost InformahoniY�N� <br /> Start Date � � Time Date Completed e�aono�s Perm�t No <br /> Compieted By Time Follow Up7 <br />