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Work Activity IEVork Order pa9e 1 <br /> :A/22/2015 8:33 <br /> _ .--- - ------ --- -.. . . __._� - - - -- -----�--_ . <br /> ISSu2d By NLJ HU50V,LANCE J. <br /> Issued Departmentaw PUBLICWORKS <br /> Oate Issued eroormis <br /> Fund ao� Account s Program Functron Activity <br /> Program ur�a�] 6 7 <br /> TItIC CONVERT i51NCH182000LBYAVEUTJ4716-3 <br /> Work Order No 20152146 Project Activlty Type CORRECTIVE MAINTENANCE Status c� <br /> Status ��3o�zo�s T�me oe �o Original WO 8illing <br /> Customcr Information <br /> Customer Name Ccstomer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subd�vis�on Change Map Y/N <br /> Phone No � ) - Ext <br /> Second Phone � ) - Ezt – - '— <br /> E-Mad Address <br /> Problem Information <br /> Address �gZp Street COLB1'AVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivis�or Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested Dy Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utihly Locate (USA) No Called Date Expiration Oate <br /> Assignment Information <br /> Dept Pnonty Estimaled Hours I <br /> Crew <br /> Contrador <br /> Assigned To <br /> Assigned By <br /> Assigned Date __ _ To Be Comp Date _ � ,,:5, �-�p :; ;�;;�, <br /> _.%_'C�:�: •�.� P��;,. ',,, . <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> AGtion Taken CONVERT.751NCN CURBSTOP TO.751NCH SETTER WITH ME7ER AND BO%.FLAT TO METER <br /> PROGRAM. <br /> Recommended Action <br /> Approved By EAl ERICKSON,ANOREW L JOb CO51 IflfOff118U011(Y/N) <br /> Start Date � � Time Date Completed �onrzois Permd No _ <br /> Completed By Time Follow Up? <br />