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Work Activity Work Order � "�° ' <br />�„r/z��_c i,_ _�. <br />— - ----- — — --- — _ _— _ -- – – --- _ _ <br />Issued By HLJ HUSBY, LANCE J, <br />Issued Department aw PUBLIC WORKS <br />Datelssued uiz9nois <br />Fund ao� Account s Program Function Actiw�y <br />Program UT3473 e a <br />TIIIE CONVERT 75 INCH 3473 HOYT AVE UT:a73���3 <br />Work Order No 20152813 Project Activity Type coRRecnve rnniNT=_r:nr�ce Status c� <br />Status �?narzois Time �sco OngmalWO Bdl�ng <br />Customer Information <br />Customer Name � Customer ld <br />Address Street <br />Apartment No City <br />State �ip <br />Subdivi;ion Change Map Y/N <br />Phone No ( ) - Ext <br />Second Phone � � � Ext <br />E.Mail Address <br />Problem Information <br />Address 3413 Street HOYT AVE <br />From Cross Street <br />To Cross Street <br />City Zip <br />Subdivision Map Book Map Reference <br />Problem WATER WATER <br />Sub Froblem OTHER OTHER <br />Requested By Date Reques;ed <br />Agency Related Request <br />IniGated From <br />Ulility Locate (USA) No Cal!ed D�te Expiration Date <br />Assignment Information <br />Dept Pnonty Fst�mated Hours <br />Crew - <br />Conlraclor <br />Assigned To <br />Assigned By io Be Con. Date t'!� �?`� �'�,,� �` � ' ''� yi• <br />Assigned Date P � � � � � �= �� � :': .. <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken CONVERT JS INCH CURBSTOP TO ]S INCH SETTER WITH METER AND BOX FLAT TO �dETER <br />PROGRAM. <br />Recommended Action <br />ApPfGved By WDL WEAVGR.DEANL <br />Start Date i � Time <br />Completed By • <br />Job Cost Inicrmalion(YRJ) <br />Date Completed vsizot6 Fermit No <br />Time Foliow Up� <br />