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Work Activity Work Order pa9� 1 <br /> a�ia�2oia e:zi <br /> ISSUed By HLJ HUSBY,LANCE J. <br /> Issued DepartmentPw PUBLIC WORKS <br /> Date Issued nyzota <br /> Fund aot Account s Program Function Activity <br /> Program UT3473 4 � <br /> Title CONVERT.)S INCH 212 MEDORA WAY UT3473-4•3 <br /> Work Order No 20142058 Project Activity Type CORRECTIVE MAINTENANCE Status c� <br /> Status �nizo�a Time is:so Original W0 Billing __ __ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( 1 - Ext <br /> Second Phone ( � - Ext — <br /> E-Mail Address <br /> Problem Iniortnation <br /> Address p�y Street MEDORA WAY <br /> From Cross Street <br /> To Cross Street <br /> City Zip <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 /> InitiateC From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment intormation <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date __ __ __ To Be Comp Date _ ; • .y <br /> ���1�������!�,�s�, <br /> Scheduied Date Scheduled Time _ <br /> Roule Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSTOP TO.751NC11 SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT <br /> Recommended Action <br /> Approved By HLJ HUSBY,LANCE J. JOb COSI If1I0fl110110t1(Y/N� <br /> Start Date i r Time Date Completed n9no�a Permit No_ <br /> Completed By Time Follow Up? <br />