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Work Activity Work Order �'�'9� ' <br /> �/z/zois ,:z� <br /> ISSUEd BY HLJ HUSBY,LANCE J. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued e��sizats <br /> Fund qot Account 5 Program Function Achvity <br /> Program uTaa�a 6 3 <br /> TitIE CONVERT 2205 OAK[S AVE UT3473-6-1 <br /> WOfk O�de�NO 20151376 PfOJBCt Act�v�ty Type CORRECTIVE MAINTENA�JCF St2tU5 CL <br /> Status 611512015 Time �rsa Original WO Bdling _ <br /> Customer in(ormation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No ��h' <br /> State ZiP <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 - Ext <br /> Second Phone 1 ) - Ext <br /> E-Mail Address <br /> Problem Iniormation <br /> Address yypg Street OAKES AVE <br /> From Cross Street <br /> To Cwss Street <br /> Cdy Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Requesl <br /> Irntiated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Iniormation <br /> Dept Prionty Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Ass�gned By <br /> Assigned Date __ To Be Comp Date . ����(���� <br /> Scheduled Date Scheduled Time _ �����'� � <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP T0.75 INCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT <br /> Recommended Action <br /> Approved By EAL ERICKSON.ANDREW L JOb COSI If1fOfR10NOf1(Y/N� <br /> Start Date � i Time Date Completed 611 612 0 7 5 Permit No _ <br /> Completed By Time Follow Up? <br />