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Work Activity Work Order Pd9� 1 <br /> 3/10/2016 12:21 <br /> ISSl1Ed By HLJ HUSBY,LANCE J. <br /> Issued DepartmentPw PUBLICWU�iKS <br /> Date Issued iiz�rzoie <br /> Fund aot Ac�ount 5 Program Function Activity <br /> Program uraa�a e � <br /> Tltle CONVERT 75 INCH 9320 OAKES AVE <br /> Work Order No 20160344 Project Activity Type CORRECTNE MAINTENANCG SlaWs c� <br /> Status vv�zo�e Time c�sa Original WO_ Billing _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No C�ty <br /> State Z'P <br /> Subdivision Cha��ge Map Y/N <br /> Phone No � 1 • Ext <br /> Second Phone � 1 • Eet — <br /> E-Mad Address _ ___ _. _ _ _—_______ <br /> Problem Information <br /> Address 3320 Street OAKES AVE <br /> From Cross Slreet <br /> To Cross Street <br /> City up <br /> Subdivlsion �9ap Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OT.HER OTHER <br /> Requested By Date Requested <br /> Agency Relaied Request <br /> Indiated From <br /> Utdiry Locate (USA) No Called D2te [xplration Dale <br /> Assignment Information <br /> Dept Prwnty EsUmated Hours <br /> Crew <br /> Contracror <br /> Assigned To <br /> Assigned By I' � ' • � <br /> Assigned Date _ To f3e Comp Date �j;��'����I�::�I (�� �^� <br /> ��d:C�_, <br /> Scheduled Date _ _ „ , _. Scheduled T�me <br /> F2oute Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP T0.751NCH SETTER WITH METER ANO BOX. FLAT TO METER <br /> PROGRAM. <br /> Recommended Action r� <br /> Approved By wo� wenvea,oenN� Job Cost Information(Y/N) <br /> --- - <br /> Start Date i i Tlme Date Completed urnoie Permit No <br /> — _ ___ _._ _- - - <br /> Completed By Time Follow Up� <br />