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Work Activity Work Order Pa9� 1 <br /> �/30/2015 9:OG <br /> ISSU2d By WDL WEAVER,DEAN L. <br /> Issued Departmentaw PUBLICWORKS <br /> Date Issued 6 11 512 0 1 5 <br /> Fund eoi Account s Program Function Activity <br /> Program urae�a s a <br /> TitIE CONVERT.751NCH 1515 OAKES AVE UTJ473-6-3 <br /> WOfk Ofd2f NO 20151397 PfOJeC� Activity Type CORRECTIVE MAINTENANCE ,S,f�fUS CL <br /> Status _ 5nsno�5 Time iao� OriginatWO _ Billing _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Aparlment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No l 1 - Ext <br /> Second Phone ( ) • Ext -- — <br /> E-Mail Address <br /> Problem Information <br /> Address 15�5 Street OAKES AVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Probiem OrHER OTNER <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 Priority Estimated Hours <br /> Cretv <br /> Contractor <br /> Assigned To {,..., <br /> Assigned By �i,/���,.- <br /> Assigned Date ___ To Be Comp Date ____ ���� �y 2s <br /> Scheduled Date Scheduled Time 0.��%�' <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTO�TO.75 INCH SETTER METER AND BO%.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By EAL ERICKSON,ANDREW l Job Cost Information(Y/N) <br /> Start Oate i i Time Date Completed snsno�s Permit No <br /> Compteted By Time Follow Up? <br />