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Work Activity Work Order P�g� 1 <br /> B/lA/2015 10:23 <br /> ISSUBd By HLJ HUSBY,LANCE J. <br /> Issued Departmentrw PUBLICWORKS <br /> Date Issued fi11612015 <br /> Fund � ao� Account s Program Function Activiry <br /> Program UT3477 6 3 <br /> Title CONVERT.751NCH 2118 OAKES AVE UT347J�6-3 <br /> Work Order No 20151430 PfOJBCt Activity Type CORRECTIVE MAINTENANCE Sl8lU5 CL <br /> Status 6I1612015 Time o�:ai Original WO _ Billing____ ____ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Aoartment No City <br /> Statc Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext _ _ _ _ <br /> Second Phone l > - Ext <br /> E-Mail Address -- — — <br /> Problem Iniormation <br /> Address p��g 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 /> F:quested By Date Requested <br /> Agency Related Request <br /> Initialed From <br /> Ulility Locate (USA) No Called Date Expiration Date <br /> Assignment In(ormation <br /> Dept Priority Estimated Houis <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assi ned B �� <br /> Ass yned ate _ _,__ To �e Comp Date � ;�;G1�i�� � <br /> Scheduled Date Scheduled Time - '����STS� <br /> Route Raute Sequence <br /> Comments ' <br /> Action Taken CONVERT.751NCH CURBSTOP TO.751NCl1 SETTER WITH METER ANO BOX.FLAT TO METER <br /> PROJECT <br /> Recommended Action <br /> Approved By EAI. ERICKSON,ANDREW L .lOb COSI IflfOffT10fI0f1(Y/N) _ <br /> Start Date � i Time __ Date Completed 712L2015 __ _ P�rmit No <br /> Completed �y Time Foilow Up7 <br />