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Work Activity Work Order Pd9� I <br /> 1a�22�2�15 8:�� <br /> -- . .. - - ._.- ---- - � - - - � � ----- ---- � <br /> ISSU2d By HW HUSBY,LANCE J. <br /> Issued DepartmentPw PUBLICWORKS <br /> Datelssued io�v�a�s <br /> Fund 40� Account s Program Function Activity <br /> Program UTJ473 6 S <br /> Titl2 CONVERT ]S INCH 2O30 COLBY AVE UT3473�Ci•3 <br /> VJO�k �fdQ� NO 20152164 PfO�BCI Activiry Type CORRECIIVE MAINTENANC[ $f8ltl5 CL <br /> StaWs �onno�s T�me cez� Original WO _ Biiling <br /> Customer Infortnation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No Ciry <br /> State Zip <br /> Subdivisron Change Map Y/N <br /> Phone No f ) - Exl <br /> Second Phone ( 1 • Ext — - --- --- <br /> E-Mail Address <br /> Prablem Information <br /> - ----- --- — <br /> Address 2030 Sireet COLBYAVE <br /> From Cross Sireet � <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 Requesled <br /> Agency Related Request <br /> Indiated From <br /> Utdity Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Prionly Estimaled Hours <br /> Crew <br /> CoNraclor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Dafe <br /> Scheduted Datc Scheduled Time <br /> Route Route Sequence '•�`��J:'�n .'•.�0 y, '''�,= <br /> � � <br /> -:;4•..,,. <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP TO.751NCH SETTER WITH METER AND BO7C. FLAT TO METER <br /> PROGRAM. <br /> Recommended Action <br /> Approved By Eq� ERICKSON,ANDREW L Job Cosl Informalion(Y/N) <br /> Start Da1e � � Time Date Completed toiv�ots Permit No <br /> — - - - - - - -- <br /> Completed By Time Foilow Up? <br />