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, <br /> Work Activity Work Order . Pa9� 1 � <br /> 8�12�2�15 12:59 . <br /> ISSU2d By WDL WEAVER,OEAN L. <br /> ISSl12d D2P3fffT1@f1lPW • PUBLICWORKS � <br /> Date Issued 6116I2015 <br /> Fund 40� Account s Program Function Activity <br /> Program UT3471 6 3 <br /> TillB CONVERT i 5 INCH 1522 OAKES AVE UT3473-6•3 <br /> Work Order No 20151477 Project Activity Type CORRECTIV[MAINTENANCE Sf81U5 CL <br /> Sf2tU5 6116IT.015 TIRIC 15:3J Of191f181 WO BIIIIf19 <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Slreet <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 • Ext <br /> Second Phone ( 1 • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address �SZZ Street OAKES AVE <br /> From Cross Street <br /> To Cross Street <br /> Cily 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 Intormation <br /> Geot Priority Estimated Hours <br /> Cf�ly <br /> Contrac;o• <br /> Assigned To <br /> Assigned By i�9`�j���' ���0��� <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Raute Roule Sequence <br /> Comrnents . <br /> Action Taken CONVERT.751NCH CURBSTOP TO.75 INCH SETfER ME�ER AND OOX. FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By EAL ERICKSON,ANDREW L. JOb COSI IIl(OfR18110f1(Y/N) <br /> Start Date � � Time Date Completed �nanot5 Permit No <br /> Completed By Time Follow Up7 <br />