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Work Activity Wark Order �age 1 <br /> 6{5/2013 8:45 <br /> Issued By HLJ HUSBY,LANGE J• <br /> Issued Departmentaw PUBLIC WORKS <br /> Date Issued 3n�zo» <br /> Fund ao� Account s Program Function Activiry <br /> Program UT3473 z 3 <br /> TI�IB ,CONVERT.5 INCN 2113 E GRAND AVE UT3473•23 <br /> Work Order No 2��306�� PfOJCCt Activiry Type CORRECTIVE MAINTENANCE Sf8tU5 Cl. <br /> Status 3n2ots Time o�:�a Original WO Billing <br /> Customer Infortnatfon Customer ld <br /> CustomerName , <br /> Address Street <br /> Apartment No City <br /> State Z�p <br /> Subdivision Change Map YIN <br /> Phone No ( ) - Ext <br /> Second Phone ( 1 - Ext <br /> E-Mail Address — <br /> Problem Iniortnation <br /> Address y��3 Street E GRAND P.VE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Felated Request <br /> Initiated From <br /> Utiliry Locate(USA) No Calied Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date ____ To Be Comp Date __ <br /> Scheduled Date Scheduled T�me <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.S INCH CURBSTOP T0.75 INCH SETTER WI MFTER AND BOX.FLAT TO MtTER <br /> VROJECT. <br /> Recommended Action <br /> Approv2d By H�J Husev,taNCe�. Job Cost Information(Y/N) <br /> Start Date i i Time Date Completed 41412013 Permit No <br /> Completed By Time Follow Up? <br />