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Work Activity Work Order <br />ISSUed By CSG CAVANAH,SHANE G. <br />Issued Department aw PUBLIC WORKS <br />Date Issued tvtuzot2 <br />Fund 4ot Account 5 p Progra ��% <br />Program uTu�a z 3 li�,'y �{ �4iJ '�� �s � <br />Title CONVERT .75 INCH 1818 19FFfa+f UT3473-23 <br />Work Order No 20122634 Project Activity Type <br />Status t2ntno�z Time t5:�3 Original WO __ <br />Customer Informatfon <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( <br />Second Phone ( <br />E-Mail Address <br />Problem Information <br />Address 1818 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Ass(gnment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date ____ <br />Scheduled Date ___ <br />Route <br />Comments <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street �gTH ST <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Function <br />Customer ld <br />Page 1 <br />iZ�z��2oiz is:5s <br />Activity <br />CORRECTIVE MAINTENANCE S�B�US CL <br />Change Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Estimated Hours <br />Action Taken CONVERTED .75 INCH CURBSTOP TO SEttER WITH METER AND BOX. FLAT TO METER <br />PROJECT. <br />Recommended Action <br />Approved By HLJ HUSBY, LANCE J. <br />Start Date i � _ <br />Completed By <br />Job Cost Information(Y/N) <br />Time Date Completed �y�u2o�s Permit No <br />Time Follow Up? <br />, l� <br />