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Work Activity Work Order r��= i <br /> =���zoi5 i<: ii <br /> ISSU2d 8/ HW HUSBV,LANCE J. <br /> Issued Departmentrw PUBLICWORKS <br /> Date tssued usrzots <br /> Fund qot Accounl s Program Function Activily <br /> Pfogram UT]e7J 5 3 <br /> T�tle CONVERT 75 INCH Z311 COLBY AVE UT3473�5�3 <br /> work Order No 201 a0912 Project Activity Type CORRECTIVE MAINTENANCE Staws c� <br /> Status_ arvzois Time �aaz OriginalWO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone 1 ) � Ext <br /> E-Mail Address <br /> Problem Iniormatian <br /> Address 23f� Street COLBYAVE <br /> From Cross Slreet <br /> To Cross Street <br /> City Zip � <br /> Subdivis�on Map Book Map Re(erence <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Reyucst <br /> Indiated From <br /> Utility Locale(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Prionty Eslimated Hour; <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date ___ To Be Comp Date ;_�j �,�if��� �� 1'�ti r °��' <br /> Scheduled Date __ Scheduled Time __ _ <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CUROS70P T0.751NCH SETTER WITH METER AND BOX. FLAT 70 MEIER <br /> PROGRAM <br /> Recommended Action <br /> Approved By H�� HUS6Y,LANCE J Job Cost Informahon(Y�N) <br /> Start Date i � Time Date Completed a�erzot5 Permit No <br /> Compieted 8y Time Foflo�v Up? <br />