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Work Activity Work Or�ler Y°`�� = <br />- - - --- — --- -- -- _ _- _ _ _ _ <br />_,_ _.�.: . :� <br />ISSJ2d B� HU HUSBY, LANCE J. <br />Issued Department Pw PUBLIC'NORKS <br />Date Issued iz�z<�zois <br />Fund aoi Account 5 Prograrn Funcuon i+ct�wty <br />Progra^� �!�sa:a 9 3 <br />Tltle CGNVF'2T 75 iNCH 7528 HOYT AVE UT3e73-9-3 <br />Work Order No 20152776 Pro�ect Achv,ry Type coaaecrive raniNr�Nr+uce Stat,,s c� <br />StaluS t2i:�:i20�5 Time �225 Orig�n21 WO Billinq <br />(;ustomer Information <br />Customer Name Customer la <br />Address Street <br />Apartment No City <br />S;ate Zip <br />Subd�vision Change Map Y!N <br />Phone No ( ) • Ext <br />Second Phone � ! - Ext — - <br />E-Mad Address <br />Problem Information <br />Address 3528 Stree! HOYT AVE <br />From Cross Sireet <br />To Cross Streel <br />Gty Zp <br />Subdivision Map Book Pdap Reference <br />Problzm WATER WA 7ER <br />Sub Problem OTHER OTHER <br />Requested By Date Requ��sted <br />Agency Relatec Req.�est <br />Indialed From <br />UhLty Locate (USA) No Called Date Expiration Datc <br />Assignmenl In(orma[ion <br />Dept Pnnnty Esuciated f iours <br />Crew <br />Contractor <br />nss;gned To <br />Assiqned By <br />Assigned Date ___ To Be Comp Qate <br />Scheduled Date Scheduled Tin,e <br />Rou(e Route Sequence <br />Comments <br />Action 7aken CONVER?.751NCH CUR65TOP TO.i51NCH SETTER WITH M[TER AND BOX F�AT TO ME?[R <br />PROGRAM. <br />Recommended Action <br />Approved By WDL WEAVER, DEAN L JGb C�51 IflfOffildli�rl�Y/N) <br />Start Date � � Time Date Completed 1Y12912015 Pe�md No <br />Completed By � �� Time Follow Up� <br />