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Work Activity Wark Order �"�z 1 <br /> 7/23/2015 5: 29 <br /> ISSUEd By MLJ HUSBY,LANCE J. <br /> Issued Departmentaw PUBLICWORKS <br /> Date Issued cnsito�s <br /> Fund eot Account s Program Functwn Achvily <br /> Program UT1473 e a <br /> TiIIE CONVERT 2305 OANES AVE 75 INCH UT3a7J�63 <br /> WOfk O�d2� NO 20151368 P�OjECf Activity Type CORRECTIVE MAINTENANC[ SiafUS CL <br /> Status 6/152ot5 Time �22� OnginalWO Bilhng _ <br /> Customer In(ormation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdiwsion Change Map Y/N <br /> Phone No ( 1 - Ext <br /> Second Phone ( � - Ext -- —— <br /> E-Mail Address <br /> Problem Iniormation <br /> Address 2305 Street OAKES AVE <br /> From Cross Street <br /> To Cross Street <br /> City 2�p <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 /> Indiated From <br /> Utihty Locate (USA) No Called Date Expuation Date <br /> Assignment Information <br /> Dept Pnonty Eshmated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By ������ <br /> Assigned Date To Be Comp Date _ ��l'��'L��r <br /> ��, <br /> Scheduled Date Scheduled Time __ <br /> Roule Route Sequence <br /> Commenls <br /> Action Taken CONVERT.751NCH CURB STOP TO.751NCH SETTER WITH METER AND BO%. FLAT TO METER <br /> PROGRAM. <br /> Recommended Action <br /> Approved By ea� ERICKSON,ANOREIN L Job Cost Information(Y/N) <br /> Start Date � � Time _ _ Date Completed enerzo�s __ Permit No _ <br /> Completed By Time Follow Up� <br />