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Work �ctivity Work Order <br />ISSUf;d BY HLJ HUSBY, LANCE J. <br />Issued Department aw PUBLIC WORKS <br />Date Issued vsrzo�e <br />Fund ao� Accounts Program <br />Procram ur3an 5 a <br />Tdle CONVERT 75 IKCH J3�1 HOY7 AVE UT3473-9�3 <br />Work Order No 20160092 Pro�ect <br />Status ___ vs�zoie _Time o92� _Ongmal WO _ <br />car�„ . <br />; �� �-- _- . <br />Fund�on Actn�iiy <br />Actiwty iype CORRECTIVE MAWTENANCE S[aluS CL <br />Billing _ <br />Customer information <br />Customer Name Customer ld <br />Address Street <br />Apahment No C�ty <br />Sta;e Z�P <br />Sub��w5icn Change t�lcp YrN <br />Pho�a No � ) • Ext <br />Ser,ond Phone ! � � Ezt ----- <br />6Matl Address <br />Problem Information <br />Addie�s 3331 Street Hpy7AVE <br />From Cruss Street <br />To Cross Street <br />C i ty --- Z o <br />Subdrvis,on Map Book Map Refe�ence <br />Probtem WATER WATER <br />Sub Prot�lem OTHER OTHER <br />Requested By Date Requested <br />Agency Related Req�,iest <br />IrnUated f=rom <br />Utihty Locate (USA) No Called Date Expiralior Date <br />Assignmen[ Information <br />Dept Prionty Estimated Iiours <br />Cre�v <br />Contractor <br />Ass�.�ned io <br />Ass gned Dy <br />Ass. ned D'a : Tb Be Comp D�te _ <br />9 _ - _ _ ��Ca t, �'� -- �,ep <br />Scheduled Date __ _ _ Scheduled T�me � '"� �� `'•� t" � �„ f�t� �? <br />Route Route Sequence <br />Comments <br />Action Taken CONVERT .751NCH CURBSTOP T0.751NCH SETTER WITH MEiER AND BO% FLAT TO METER <br />PROGRAM. <br />Recommended Action <br />Approved By WDL �NEAVER, DEAN L JOb COSf I�(OtRinliO�(YIM <br />Start Date � � T�me Date Completed vsnois Perm�t No <br />Completed Ciy Time Fol:ow Up� <br />