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Work Activity Work Order F°== ' <br />.-:;�/��iE a::: <br />- - - — --- <br />-- - -- _ _ -- - -- -- - <br />ISSU2d By HLJ HUSBY, LANCE J. <br />Issued DepartmentPw PUBLICWOftKS <br />Date Issued tz�zaizois <br />Fund qot Account5 Program <br />Program uTaa�a e 1 <br />TI;12 CONVERT ]5 WCH a020 HOYT AVE UT3a73-9J <br />'-NorK OrderNo 20152773 Pro�ect <br />S;atus +:iza�zo+5 Time iz is Orio�na: WO <br />Funclion Activity <br />ACUv�ry Type coRR�cnve �+niurENnUce Status c� <br />Billing <br />Customer Information <br />Customer Name Custom2r la <br />Address S!reet <br />Apartmeni No Ciry <br />State Zip <br />Subdivision Change Map Y1N <br />Pnone No ( 1 - Ext <br />Second Phone ( ) - Ex! — <br />E-Ma�l Address <br />Problem Information <br />Address q020 S«zP1 HOYT AVE <br />From Cross Streef <br />To Cros� Street <br />City Zip <br />Subdivision A9ap Book Map Re!erence <br />Problem WATER WATER <br />S�b Problem OT.4ER OTHER <br />Requesled By Dale Reaues!ed <br />A9ency Reiared 19aques! <br />Init�ated F�om <br />Utdi(y Locate (USA) No Called Date Expiration Date <br />Assignment Information <br />DCpt PnOnly Eshrn:,ti�d Hours <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Ass�gned Dale To Oe Como Date <br />Scheduled Date Scheduled T�e e <br />Route Roule Sequenc-r <br />Comments <br />Action Taken CONVERT ]S INCH CUR�STOP TO ]5'NCM SETTER WITM METER AND BOX. FLAT TO METER <br />PROGRAM. <br />Recommended Action <br />Approved By wo� �NElWER, DEPN L <br />Start Date i � Time <br />Completed By <br />Job Cost Informa!�on(Y/N) <br />Date Comple�ed izr�onots Permit No <br />Time Follow Up� <br />