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Work Activity Work Or��r <br />---- -- — - --- - <br />ISSU2d By HLJ HUSBY, LANCE J. � <br />Issued Depar,mentaw PUBLICWORKS <br />Date Issued iziz3izois <br />Fund ao� Account 5 Program <br />Program uraa73 9 � <br />Tit,e CONVcRT 7S IYCH ?316 HOY' AVE UT3573-93 <br />Work Order No 20152744 Project <br />SlatuS t2r23?G'S llm2 0':� Gi�^y�nal :NO <br />��;�. _ <br />_,_ _._: =.�_ <br />Funr.t on Fcl�v�!y <br />Acl�wty Type coaa�crive r.�a�vreN:.Nce Status c� <br />Bdi ng <br />Customer Information <br />Customer Name C�stomer la <br />Address S�ra_e; <br />Apartmen; No C�b� <br />State Lp <br />Subdivision Change Map Y.�N <br />Phone No � 1- Ext <br />Second Phone { 1 - Ext — <br />E-Ma�i Address <br />Problem Information <br />Address 3316 SVeet HO)'T AVE <br />From Cross Streel <br />To Cross S,reet <br />C�ty 7ip <br />Subaiwsion Map Book P.1ap Reference <br />Problem WATER WArER <br />Sub Problem OTHER OTHER <br />Requested By Date Requested <br />Ager,cy R�la:ed Requzs: <br />In�tiated From <br />Util�ry Locate (USA1 No C2!led Date Expiration Daie <br />Assignnent Information <br />Dept Prorrty [stimatedhiou�s <br />Crew <br />Contractor <br />Assigned To <br />Ass�gned By <br />Assigned Date _ To Be Ccmp Date <br />Scheduled Date Scheduled Time � <br />Raute Route Sequence <br />CommeNs <br />Action Taken CONVERT i51NCH CURBSTOP ?0.75 RJCH SETT[R WiTH LIETER AND �OX FLAT TO tdE iER <br />PROGRAM. <br />Recommended Ac[ion <br />Approved By vdoL wEav[rt. oe�N � Job Cost Information�Y/N) <br />Start Date � � Time Date Comple�ted i2izeno�5 <br />— - - � ----- - - - � — �----- <br />Completed By • Time ' Follolv Up� <br />Permit No <br />