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Work Activity Work Order Pa�� 1 <br /> �/'-.�/�ois io:�, <br /> ISSl18d By H W HUSBY,LANCE J. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued 'oiisizo�s <br /> Fund ao� Account s Program Function Activity <br /> Program UT3473 6 3 <br /> TIllO CONVERT 2123 OAKES AVE UT3477-6J <br /> WOfk OfdBf NO 2��5�382 PfOJ2CI Activity Type CORRECTIVE MAINT[NANCE $I0IU5 CL <br /> Status 6/1 512 0 1 5 Time �3:�s Original W0 Billing _ _ _ _._ _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No ��ry <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No � 1 • E�R _ _ . <br /> Second Phone l 1 - Ext - - <br /> E-Mail Address - <br /> Probiem Intormation <br /> Address 21Y3 Street OAKESAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Eook Map Re(erence <br /> Probiem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utiliry Locate (USA) No Called Date Expiration Date <br /> Assignment In(ormation <br /> Depl Prionty Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned Eiy � { r,�i �, <br /> Assigned Dale _._ _ To Be Comp Date _ __ �i1���L:(�t����j'�� ,���_..!�_ <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CUR9STOP TO.751NCH SETTER WITH METER AND BO%.FLAT TO METER <br /> PROJECT <br /> Recommended Aetion <br /> Approved By en� ERICKSON,ANDREW L. JOb COSI If1�OffT'�0110l1(Y/NJ_ <br /> Start Date i � Time __ _ Date Completed snaisol5_ _ Permit No _ _ <br /> Completed By Time Follow Up? <br />