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Work A.ctivity Work Order ��y.' ' <br /> ie/�:/:a•.5 o:2e <br /> ---- - -- -- --- - - - <br /> Issued By HW HUSBY,LANCE J. <br /> Issued Departmentrw puauc w�aKs <br /> Date Issued �onrsots <br /> Fund �ot Account s Program Function Achvity <br /> Program uTaa�a e 3 <br /> TitlO CGNVERT 751NCH 2O16 COLBY AVE UT3473-63 <br /> Work Order No 2��52�62 PfOJBCI Activity Type CORR[CTNE MAINTENANCE $t91U5 CL <br /> StaWs �oniz0i5 Time o�2e Original WO Billing <br /> Customer Information <br /> Cuslomer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> Stale Zip <br /> Subdlwsion Change Map YIN <br /> Phone No ( I • Ext <br /> Second Phone ( ) • Ext '- ' - -- <br /> E-Mail Address <br /> Problem Information <br /> Address Zp�6 Slreet COLBYAVE <br /> From Cross Street <br /> To Cross Street <br /> Gry Zip <br /> Subdivlsron Map Book �dap Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requesled <br /> Agency Related Request <br /> Initiated From <br /> l;tility Locate (USA) No Called Date Expiralion Date <br /> Assignment Information <br /> Depl Pnonry Estimated Hours <br /> Crew <br /> Conlractor <br /> Asslgned To <br /> Assigned By -;^'� _-_l <br /> Assigned Date ___ To Be Comp Date _ „ ,�� ,i <br /> Scheduled Date Scheduied Time � � ���':�" . <br /> Route Roule Sequence <br /> Comments <br /> Actio� Take`I1 CONVERT.75INCH CUROSTOP TO.751NCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROGRAM. <br /> Recommerded Action <br /> Approved 3y EAL ERICKSON,ANDREW L JOb COSf In(Otf1181i0�(Y/N) <br /> Start Date �i Time Date Compieted �avsots Permit No <br /> Compieled By Time Follow Up' <br />