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Work Activity Work Order � <br /> ISSU2d P,y HLJ HUSBY,LANCE J. <br /> Issued Department aw puBUC wOttKs <br /> Date Issued 9p012015 <br /> Fund ♦O1 ACCOUntS PrpGram Fun�Ucr Acfwdy <br /> Program ut��7J 6 7 <br /> T�IIE CONVCR7 i5�NCH 1824 COL6V AVE UT3a77-6-3 <br /> 'JJork Order No 20152148 Pro�ect Activiry Type coRReCtivE taniNT[r+Hr+C[ Status c� <br /> Slatus 9"o2nt, TimeCe '� Oeginal `JJO B�Ilin3 <br /> Customcr Information <br /> Customer Name Cus�omer ld <br /> Address Sbeet <br /> ?partment No ��;y <br /> State Zip <br /> Subd�vision Change Map Y/N <br /> Phone No ( 1 - Ext <br /> Second Phone ( � • Ext — — <br /> E-Mad Address <br /> Problem Information <br /> Address �gy4 Street COLBYAVE <br /> From Cross Street <br /> To Cross Stroet <br /> City -- z�p <br /> Subdro�s�on t�1ap Book �Jap Re'�rerce <br /> Problem WATER WATER <br /> Sub Problem OfHER OTHER <br /> Requesled 8y Date Recuested <br /> Agency Reialed Requ^st <br /> Initiated From <br /> Utd�ty locate �USA) No Ca�led Date Expiration Datc <br /> Assignment Information <br /> Depl Pnorty Esf�mated Hours <br /> Crew <br /> Contracbr <br /> Assigned To <br /> Assigned 8y <br /> Assigned Date To Be Comp Dafc "' ��� :;;,'. � ' ' . � <br /> :.,�:�: <br /> Scheduied Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT ]5 INCH CUR[�STOP TO ]5 INCH 5[TTCR WITH METEH AND BOX f LAT i0 MCTER <br /> PROGRAM. <br /> Recammended Action <br /> Approved By EAL Etticresov.ANOW[v�� Job Cost Inforrnali��rfYRJ) <br /> Start Date i � Time Dale Completed �aivzo�s Perr��� No <br /> Compl�ied fiy T�me Fol'��v Up� <br />