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Work Activity Work Order `'a9" I <br /> �ioi�,��5 �:�5 <br /> IssuedBy HLJ HUSBY,LANCEJ. <br /> Issued Department Pw PUBLIC WORKS <br /> Datelssued anano�s <br /> Fund eo� Account s Program Function Activiry <br /> Program UT3473 5 3 <br /> Title CONVERT 1917 COLBY AVE UT3a7&S3 <br /> WorkOrderNo z0�5�92� Project ActivityType CORRECTIVEMAINTENANCE StOtUS CL <br /> Status _ _ <naizois Time os:oa Onginal WO ___ Billing _ _ _ <br /> Customer InFormation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment Nn City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) • Ext <br /> Second Phone ( 1 - Ext -- -- <br /> E-Mail Address <br /> Probicm Information <br /> Address 1917 Street COLBYAVE <br /> Fr�m Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdiwsion Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Inlhated From <br /> Utdity Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Eslimated Hours <br /> Crew <br /> Contraclor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date 4y�y ;'i� ��; �s'� y �,1 �,•, � <br /> Scheduled Date Scheduled Time �� ��� J—� <br /> Roule Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSiOP TO.751NCH SETTER WITH M[TER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HW HUSer, �aNCE J. Job Cost In(ormation(Y/N) <br /> Start Date � r Time Date Completed ana�za�e Permil No <br /> Completed By Time Follow Up7 <br />