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Work Activity Work Order Pay� 1 <br /> i�/�/�o�s i� , ie <br /> ISSU2d BY ... HLJ �—� HUSBY.LANCEJ. � � ��_ -�- -_�_ � _-�-_-�__ <br /> Issued Department Pw PUELIC WORKS <br /> Date Issued iva�aois <br /> Fund eut Accour.t s Program Function Activity <br /> Program uraa�a e 3 <br /> Tltl@ CONVERT.5 INCH 3021 GEDNEY ST UT3473-8-3 <br /> Work Order No 20�524Z2 PfOJ2Ct Activity Type CORRECTIVE MAINTENANCE SIBIUS CL <br /> Staws 111312015 Time �so� Original WO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartrnent No City <br /> State Zip <br /> Subdivision Change Map YIN <br /> Phane No ( ) - Ext <br /> Second Phone ( 1 • Ext — - - ' - -- - -- � <br /> E-Mail Address <br /> Problem Information <br /> Address 3021 Street GEDNEYST <br /> From Cross Street <br /> To Cross Street <br /> Ciry Zip <br /> Schdivision MapBook MapReferen,e <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Ini(iated From <br /> Utiliry Locate (USA) No Calied Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date _ __ , To Be Comp Dale _____ <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence r��'::.,`;t%;;r��)y,; ,] J;�� �, <br /> Comments t��,..�;� , .. , <br /> Action Taken CONVERT.5 INCH CURBSTOP T0.751NCH SETTER WITH METER AND JUMPER.FLAT TO <br /> METER PROGRAM. <br /> Recommended Action <br /> Approved By woL W�vert,oenN�. Job Cost Information(Y/N) <br /> Start Date � � Time Date Completed tvsno�s Permit No <br /> Completed By Time Follow Up? <br />