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Work Activity Work Order Pag� 1 <br /> ,�3���a15 8:54 <br /> ISSUEd BY HLJ HUSBY,LANCE J. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued maizo�s <br /> Fund ao� Account 5 Program Function Activity <br /> Program UT3173 s s <br /> TIIIO CONVERT.75 INCH 1002 OAKES AVE UT3473-6-3 <br /> Work Order No 20151599 Project Activity Type CORRECTIVE MAINTENANCE S18�US Cl <br /> Status marzoi5 Time o�zi Original WO __ Billing ___ .__ <br /> Customer Intormation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( 1 - Ext <br /> Second Phone ( ) - Ext - i <br /> E-Mail Address <br /> Problem Information <br /> Address �ppp Slreet OAKESAVE <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 Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Prionty [stimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date _,___ To Be Comp Date _ ___ py <br /> Scheduled Date Scheduled Time '�y b'�� �����i77S S�R±1 <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CUR�STOP T0.751NCH SETTER WITF1 METER ANO �Ox.FLAT TO METER <br /> PROGRAM. <br /> Recommended Action <br /> Approved E3y EAL ERICKSON,/1NDFEW L JOb COSI If110ffi12110f1(Y/N) <br /> Slart Date � � 7ime Date Completed �n�i2o�5 Permit No <br /> Completed By` ` Time Follow Up? <br />