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Work Activity Work Order P35` ' <br /> 3/3/2076 B : 15 <br /> ISS:Ied By HLJ HUSBY,LANCE J. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued imiaoie <br /> Funtl aot Accounl s Program Fun;tion Achvity <br /> Program UT3C7] 9 1 <br /> Tltle CONVER7 75 INCH 3122 OAK[S AVE UT3473•9�3 <br /> Work Order No 20160337 Pf0)BCf Actiwry Type CORRECTIVE h7AWiENANCE SI8IU5 CL <br /> Sta;us _��z_'Zoie Time oe<i Orig�nal WO __ __ __ _ B�il�ng <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartmen[ No City <br /> State Z'P <br /> Subdiv�sion Change Map Y/N <br /> Phone No ( ) - Ext <br /> Sacond Phor.e { ? - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 31Pp Street OAKES AVE <br /> From Cross Street <br /> To Cross Stree; <br /> City Z'P <br /> Subdrvision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By - Date Requested <br /> Agency Related Request <br /> Init�ated From <br /> Ut�lity Locale (USA) No Called Date ExpiraUon Date <br /> Assignment Information <br /> Dept Pnority Esiunated Hours <br /> Crew <br /> Coniractor <br /> Assigned To <br /> �ssigned By <br /> Assigned Date _ _____ _ To �e Comp Dale ��;j��!Q�� ��`� � ,� <br /> � L R.�.�. ��. <br /> Scheduled Date Scheduled Time _ __ — <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSTOP TO .751NCH SETTER WITH METER AND BOX. FLAT TO METER <br /> PROGRAM. <br /> Recommended Action ' <br /> Approved By wo� wEnvert, oEnN� Job Cost Informalion(Y/N) <br /> Slart Date � i Time _ _ _ Date Completed vz�izois _ Permit No _ _ <br /> Compieted By 7ime Follow Up� <br />