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Work Activity Work Order Pa9e ' <br /> e/iz/zois i3:o� <br /> ISSUBd By WDL WEAVER,DEAN L. ' <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued snsno�s <br /> Fund �ot Account 5 Program Function Activity <br /> Program UT3473 s � <br /> TIfl2 CONVERT]5 INCH 1510 OAKES AVE UT3473-6-3 <br /> WO�k Ofd2f NO 20151449 PfOJEC� Activity Type CORRECTIVE MAINiENANCE Sf8fU5 CL <br /> Status 6/16I2015 Time io.a3 Original WO Billing __ <br /> Customcr(nformation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 - Ext <br /> Second Phone ( ) • Ext <br /> E-Mail Address <br /> Problem Informatian <br /> Address �g�p Street OAKESAVE <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Prablem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility locate (USA) No Ca�led Date Expiration Date <br /> Assignment Iniormation <br /> Depl Pno�ity Estimated Flours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned Ey <br /> Assigned Date To Be Comp Dale _ __ �;� _ Yr <br /> Scheduied Date Scheduled Time __ . ���b'°��r� ����' <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP T0.75 INCH SETTER METER AND BOX. FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By EAL ERICKSON,ANDREW L. JOb COSI IfllOffflBtiOf1(Y/N) <br /> Start Dale � i Time Date Completed �naizots Permit No _ _ <br /> Completed By Time Follow Up? <br />