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Work Activity Work Order �a°� ' <br /> ��/za/zo:s io:sz <br /> Issued By HLJ HUSBY,LANCE J. <br /> Issued DepaAmenlaW PUBLICWORKS <br /> Oate Issued 6I7512015 <br /> Fund ao� Account s Program Function Activity <br /> Progrem ur3ua e a <br /> Tifle CONVERT 2115 OAKES AVE UT3473�6�3 <br /> Work Order No 20151385 Pf0J2CI Activity Type CORRECTIVE MAINTENANCE SlBIUS CL <br /> Status _ _ ensno�5 Time i32o _Original WO___ _ _ _ _6dling <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( � - Ext <br /> Second Phone l 1 - . Ext -- <br /> E-Mail Address <br /> Problem Information <br /> Address 4i15 Street OAKESAVE <br /> From Cross Street <br /> To Cross Street <br /> City 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 /> Iniliated From <br /> Utility Locate(USA) No Called Date Expiration 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 /> ,�������.���1.� f=� � ���.��- �: <br /> Scheduled Date Scheduled Time __ <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP TO .751NCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT <br /> Recommended Action <br /> Approved By Ep� ERICKSON,ANDftEW L �Ob CO51 If110ffi18U0�(YIN) <br /> StartDate _ �_ r__ Time __ ___ DateCompleted sn�nots __ PermitNo <br /> Completed By Time Follow Up7 <br />