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Work Activity Work Order Pa9e 1 <br /> ai�zizo�s �z:�� <br /> ISSUBd By WDL WEAVER,DEAN l. � <br /> Issued Departmentaw PUBLICWORKS <br /> Datelssued en�no�s <br /> Fund aot Account 5 Program Function Activity <br /> Prcgram uraa�a e s <br /> Tlfl@ CONVERT.75 INCH 1828 OAKES AVE UT3473-63 <br /> WOfk Ofd@f NO 20151495 PfOj@Cl Activity Type CORRECTIVE MAINTENANCE SfBIUS CL <br /> Status 6�t�izots Time �2:32 Original WO Billing <br /> Customer In(ormation <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 ( I • Ext <br /> E-Mail Address <br /> Problem Iniormation <br /> Address �82g Street OAKESAVE <br /> From Cross Street <br /> To Cross Street <br /> Ciry 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 Expiralion Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By , <br /> Assigned Date _ To Be Comp Date _ _ <br /> ��, <br /> Scheduled Date Scheduled Time ____ ����;f�'���' <br /> Route Route Sequence ����� <br /> Comments <br /> Action Taken CONVERT .751NCH CUR�STOPTO .7511�Cf1 S[TTER METER AND BOX. FLAT TO MFTFR <br /> PROJECT. <br /> Recommended Action <br /> Approved By EAL ERICKSON, �NDR[W L Job Cosl In(ormahon(Y/N) <br /> Start Date � r Time Date Completed nzoixots Permit No _ <br /> Completed Dy Time Follow Up� <br />