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Work Activity Work Order � _� <br /> Issued8 — ---- ---- -- - -^;--/zor, e:a� <br /> Y --�-�---HLJ HUSBY.LANCEJ. -- --- - -- <br /> Issued Departmentaw PUBLIC WORKS <br /> Date Issued tmv2o�5 <br /> Fund ao� Accounts Program Func6on <br /> Program UTJ473 6 �+ctivlry <br /> 3 <br /> Titl2 CONVERT]51NCH 2O10 COLBY AV[UT3473{•J <br /> Work Order No 20152161 Project Activlty Type CORFECTIVE MAINTENANCE Status c� <br /> Status __ ieivzo�s Time o9z2 Original WO Bdlin <br /> -- --- 9 <br /> Customer Infortnation <br /> Customer Name C�stomer ld <br /> Address Street <br /> Apartment No Ciry <br /> State Z�P <br /> Subdivision <br /> Phone No � � . Change Map YiN <br /> Ext <br /> Second Phone ( ) - Ext _ -__ <br /> E-h.7ail Address — <br /> Problem Information _ __ <br /> Address 20f0 Street COLBYAVE <br /> From Cross SUeet <br /> To Cross Street <br /> Gty Z�p <br /> Subdivision Map Book t�1a A <br /> Problem WATER WATER P �-fe:ence <br /> Sub Problem CTHER OrHER <br /> Requested By <br /> Agency Date Requested <br /> Initiated From Relatetl Request <br /> Util�ty Locate (USA) No Called Date Expiration Date <br /> Assignment Inlormation <br /> Dept <br /> Crew �'nor�ty Esfimated Hours <br /> CoMractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Ua(e �• ' ,r.: ;,., :: <br /> . � ., .r,, ,. .� : ,� .. <br /> Scheduled Date Scheduled Time � '�•;�' i,_ -'• <br /> Route Route Sequence � � <br /> Comments <br /> Action Taken CONVERT.75 INCN CURBSTOP TO.75 INCH SETTER WI7H METER AND BOX.FLAT TO MET[R <br /> PROGRAM. <br /> Recr,mmended Actton <br /> Approved By EAL ERICKSON,ANDREW L JOb C051 I�(O(f118I�Of1(Y/N) <br /> Start Date i � <br /> ____ _ Time Date Completed toivsou Permit No <br /> Campleted By Time Follow Up? <br />