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Work Activity Work Order ���=� ' <br /> :o/�z/�ois e::s <br /> — - _ _ — -- — — --- <br /> ISS�C'd By HLJ HUSBV,LANCE J. <br /> Issued Department aw PUOLIC WORK$ <br /> Date Issued �omto�s <br /> Fund aoi Accounl s Program Function AcLwty <br /> Program ursa�s 6 3 <br /> j���e CONVERT 751NCH 2104 COLBY AVE UT3673!•3 <br /> WOrk OfdPf NO 2��52��� PfOJOCt Activiry Type CORRECTIVE MAINTENANC[ $f8tU5 CL <br /> Status im�izo�s Time �t�z Onginal WO __ 8il6ng _ <br /> Customer �nformation <br /> Cuslomer Name Cus:omer ld <br /> Atldress Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N I <br /> Phone No � 1 - Ext <br /> Second Phone f ) - Ext ---- <br /> E-Mail Address <br /> Probiem Iniormation <br /> Address y�pq Street COLBYAVE <br /> From Cross Street <br /> To Cross Street <br /> Cih' Zip <br /> SubdWision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTNER OTHER <br /> Requesled E3y Date Requested <br /> Agency Related Reyuest <br /> Indialed �rom <br /> Util�ty Locale (USA) No Called Date Expuahon Date <br /> Assignment Infortnation <br /> Dept PnonPy Estimated How, <br /> Crew <br /> Contractor <br /> Ass�gned To <br /> Assigned Ry <br /> Assgned Date . To Be Comp Oate <br /> Scheduled Date Scheduled Time ' '^- ' . ' � '_. `�'`';t; .` <br /> Route Roule Sequence <br /> Comments <br /> Action Taken CONVERT JS INGH CUROSTOP TU.751NCH SETTER WITH MGTER AND BOX.FLAT TO M[TER <br /> PROGRAM. <br /> Recommended Action <br /> Approved By EAL ERICKSON,ANDR[W� Job Cost InformaUon(Y/N) <br /> Start Date � r __ Time _ Date Completed tan�zots Permif No <br /> Completed By Time Follow Up7 <br />