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Page 1 <br /> � Work Activity Work Order 8„Q,zols �:1z <br /> ISSUBd By WOL WEAVER,DEAN L. <br /> Issued Departmentaw PUBLICWORKS <br /> Date Issued sn��zots Function Activiry <br /> Fund aot Accounts Program <br /> Program UT3473 6 3 <br /> Tifl2 CONVERT 75 INCH 1928 OAKES AVE UTa479-6•3 <br /> Work Order No 2��5�499 PfOJBC� Activity Type CORRECT'VE MAINTENANCE Sf8lU5 CL <br /> Status 5n�izoi5_ Time ie:23 Original WO Billing __ - <br /> Customer Information Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map YIN <br /> Phone No ( ) - Ext <br /> Second Phone ( ) • Ext <br /> E-Mail Address -- <br /> Problem Information <br /> Address �gyg Street OAKES AVE <br /> From Cross Street <br /> To Cross Streel <br /> Zip <br /> Cily Map Book Map Reference <br /> Subdivision <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated From Ex iration Date <br /> Utility Locate (USA) No Called Date P <br /> Assignment Iniormation <br /> Dept ?riority Estimated Hours <br /> Crew <br /> Contraclo� <br /> Assigned To <br /> Assigned By To Be Comp Date ,. ,,. ; <br /> Assigned Date 'r�Y`������ ����'� <br /> Scheduled Date Scheduled Time ______ <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURRSTOP TO.75 INCH SETTER METER AND BO%.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> AppfOVed By EAL ERICKSON,�NDREW l. JOb COSt IflfOtmali0n(YIN) _ _ <br /> Timc Date Completed Tnvzo�s Permit No _ <br /> Start Date i � _— <br /> Completed Dy Time Follow Up? <br />