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Work Activity Work Order Fa�� 1 <br /> '!JOiiU15 9:18 <br /> ISSUEd By W�L WEAVER,JEAN l.. ' <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 6H512015 <br /> Fund soi Account 5 Program Function Activity <br /> Program UT�Q] e a <br /> TitIE CONVERT 751NCH1B170AKESAVEUTJ473-6-3 <br /> Work Order No 2��5�362 PfOjCCt Activiry Type CORRECTIVE MAINTENANCE Sf8IU5 CL <br /> Status _ 5n5�zois Time u o0 Original WO ___ Billing _ __ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address S�reet <br /> Apartment No City <br /> Stale Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( 1 • Ext <br /> Second Phone f ) • Ext -- <br /> E-Mail Address <br /> Problem In(ormation <br /> Address 1817 Street OAKESAVE <br /> From Cross Street <br /> To Cross Street <br /> Ciry Z�P <br /> Subdiv�sion Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Imliated From <br /> Ut�lity Locate (USA) No Called Date Expiration Date <br /> Assignment Iniormation <br /> Depl Priority Esbmated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assi ned 8 '�� "; � e? � <br /> Assigned Date To Be Comp Dale __ ' " '�'� ���•���''s: �'!� <br /> Scheduted Date Scheduled Time _ <br /> Route Route Sequence <br /> Comments <br /> Action Taken CpNVERi.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 Cost In(ormation(Y/N) <br /> Start Date � i Time Date Completed ei�anots ___ Permit No <br /> Completed By Time Follow Up? <br />