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Work Activity Work Order P�9e 1 <br /> -—_ . ._____ ____ , 5/8/2015 9:27 <br /> ISSl1BdBy HLJ HUSBY,LANCEJ. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued ana�tots <br /> Fund ao� Account s Program Function Activity <br /> Program UT3�7J s a <br /> Title CONVERT]S INCH 2O09 COLBY AVE UT3473-Y3 <br /> WOfk Ofdef ND ZO�SO9�9 PfOJ2Cl Activiry Type CORRECTIVE MAINTENANCE S�81US CL <br /> Status _ anarzois Time oss9 Original WO _ __ BilGng <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No Ciry <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 • Ext <br /> Second Phone ( ) • Ext — ---- - — <br /> E-Mail Address <br /> Problem Information ----" — <br /> Address yppg Street COLBYAVE <br /> From Cross Street <br /> To Cross Street <br /> City Lp <br /> Subdiwsion Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Dale Requested <br /> Agency Related Request <br /> Initialed From <br /> Ulility Locale(USA) No Called Date Expiration Oate <br /> Assignment In(ormation <br /> Dept Priority Eshmaled Hours <br /> Crew <br /> Contraclor <br /> Assigned To <br /> Assigned By �'�� ',; "` " ' `� <br /> '� *� :('' S i_ Fe:: ;' , <br /> Assigned Date To Be Comp Date <br /> Scheduled Date ___ _ Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NLH CURBSTOP TO.751NCH SETTER WITM METER AND BOX,FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By H�� rrusev, v,Nce�. Job Cost Information(Y/N) <br /> Start Date i i Time Date Completed anano�s Permil No <br /> Completed By Time Follow Up7 <br />