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Work Activity Work Order p�9e 1 <br /> 7/�4/2015 9:03 <br /> ISSU2d By HLJ � ' HUSBY,LANCE J. <br /> Issued Department rw PUBLIC WORKS <br /> Date Issued 611612015 <br /> Fund aoi Account s Program Function Activity <br /> Program uras�a c a <br /> TIfl2 CONVERT.751NCH 2O17 OAKES AVE UT3473�6-3 <br /> Work Order No Z��5�4�� Project Activity Type CORRECTIVE MAINTENANCE SlBtUS CL <br /> Status 611 612 01 5 Time os:5o Original WO Billing_ _ __ __ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State ZiP <br /> Subdivision Change Map YIN <br /> Phone No � � • E� <br /> Second Phone ( 1 - Ext — -- — — — -- — ---- <br /> E-Mail Address <br /> Pro6lem Iniormation <br /> Address yp�7 Street OAKES AVL- <br /> Fram Cross Street <br /> To Cross Streel <br /> Ciry Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Probiem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> IniGated From <br /> Utiiiry Locate (USA) No Called Date Expiration Date <br /> Assignment Iniormation <br /> Dept Prionty Estimated Hours <br /> CreH� <br /> Contrecror <br /> Assigned To <br /> Assigned By ,._ i .L;i�j,jt; .:� ,� 1 _.' :, <br /> Assigned Date To Be Comp Date _ � �' : <br /> Scheduled Date ____ Scheduled Time ___ _ <br /> Route Route Sequence <br /> Comme�ts <br /> Action Taken CONVERT.751NCH CURBSTOP TO.751NCH SETTER WITH METER AND BOX.FU1T TO METER <br /> PROJECT <br /> Recommended Action <br /> Approved By en� ERICKSON,ANDREW L. JOb COS� If1(OffTl�ti0i1(YIN) <br /> Start Date � i Time _ Date Completed snanots _ _ Permit No <br /> Completed By Time Follow Up? <br />