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Work Activity Work Order Pa9° 1 <br /> �/za/zois ii:oo <br /> ISSUBd By WDL ^ WEAyER,DEAN L. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued 6I15/2015 <br /> Fund 40� Account s Program Function Activity <br /> Progrem UTJ473 e a <br /> TitlC CONVERT]5 INCH 1709 OAKES AVE UT3a73�G-3 <br /> Work Order No 20���3�� P(OJECf Activiry Type CORRECTIVE MAINTEN�NCE $lBIUS CL <br /> Status __ ensrzois Time iao3_ Original WO Billing <br /> Customer infonnation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( 1 - Ext -- — —— <br /> E-Mait Address <br /> Probiem Information <br /> Address »pg Slreet OAKES AVE <br /> From Cross Street <br /> To Cross Street <br /> City Z�p <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 /> UtiGty Locate(USA) No Called Date Expiration Oate <br /> Assignment Infortnation <br /> Dept Pnority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By ..�1��_--'F��f��'� �;��=:'. :`', <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP T0.751NCH SETTER METER AND BO%.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By �� ERICKSON,ANOREW L. JOb COSf Ifl(O�f118fi0f1(Y/N) <br /> Start Date i r Time Date Completed fi12414015 Permit No <br /> Completed By Time Follow Up? <br />