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1►'Vork Activity Work Order � - <br />-.. <br />__ _ _ - ,. �_-- � ; <br />_ - -- - - — <br />Issued By H�J HJSBY, LANCE J <br />issued Department Pw PUBLIC WORKS <br />Date Issu_J unano�s <br />Fund eo� Account 5 Pro,7rarn Funchon Act�v�ty <br />Prcgram uraa�a y � <br />T'�t12 GOkVEQT 75 INCH 36Z0 HOYT AVF UT3473-9�3 <br />VVork Order No 20152777 Project Act�v�ty Type CORR�cri�ie wq�Nreu„rdce S?alus c� <br />Sta;us izns�Zp•5 Time i2z� Ong�nal WO 9dhn <br />—__ ----- - � 9 <br />Customer Informatic n <br />Customer Name C.�stomer ld <br />Address Slreet <br />Apartment No C�ty <br />State ZiP <br />Subdwision Cnange Map Y/N <br />Phone No ( ) • Ext <br />Second Phone c � - Ext ----- -_ _ . -_ .--------._ <br />E-Mail Address <br />Problem Information — ------ -- — — <br />Address 3620 Street <br />HOYT AVE <br />Frcri Cross Street <br />To Cross SUeet <br />City Z p <br />Subd�ws�on Mao Book hiap Reference <br />Problem WATER WAfER <br />�iub Problem OTNER OrHER <br />RequEsted By <br />Agency Date Requ�sted <br />In,Laled From Related Request <br />Ut�'�ty Locate ;US.ij No Called Date Expiralion Date <br />Assignment Information <br />Dept <br />Crew P�'�'��'i Es;imated Nours <br />Contractor <br />Assgned To <br />Assigned By <br />Assigr,ed Date To E3e Coino Date <br />Scheduled Date _ _ _ Scheduled Time <br />�i0�'�`-' Roule Sequer.ce <br />Comments <br />Action Taken CONVERT ]5 INCH CU70STOP TO .751NCH SETTER WITH METER AND BOX F LAT TO METER <br />PROGRA�1 <br />Recommended Action <br />Approved By wo� wenveH �e�N t. Job Cost Informat�on(Y!N) <br />Start Date � i T�me — <br />-- __— Date Compleled t2�3onots Perm�t No <br />Completed By Time Follow Up� <br />