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Work Activity Work Order pa9� 1 <br /> — _ 7/31/2014 8:43 <br /> ISSUOd By HW HUSBY,LANCE J. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued �ivzoie <br /> Fund qot Account 5 Program Function Activity <br /> Program utsa�s 4 3 <br /> Titie CONVERT.75 INCH 2818 MEDORA WAY UT3473-q-3 <br /> Work Order No 20142049 Project Activity Type CORRECTIVE M�INTENANCE Status c� <br /> Status _ nv2o�a Time �5:3s Original WO Biiling <br /> Customcr lnformation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State ZiP <br /> Subdivision Change Map Y/N <br /> Phone No ( ) . E� <br /> Second Phone ( 1 - E� .,_ <br /> [-Mail Address <br /> Probiem Information --- <br /> Address pg�g Sireet MEDORA WAY <br /> From Cross Street <br /> To Cross Sireet <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 /> Initiated From <br /> Utility Locate (USA) No Caiied Date Expiralion Date <br /> Assignment Intormation <br /> Dept Priori <br /> Crew N Estimafed Hours <br /> Conlractor <br /> Assigned To <br /> Assigned By , ,. , <br /> Assigned Dale To De Comp Date '� +J'�`;r.: ; -. ,. � • <br /> Scheduled Date .__ Scheduled Time J ,' � ` ; ' <br /> Roule Route Sequence <br /> Comments <br /> Action Taken CONV�NT.751NCH CUROSTOP T0.75 INCN SETTER WI7H METER AND OOX.FLAT TO MET[R <br /> PROJECT <br /> Recommended Action <br /> Approved By FBL FlS�iEH, �ouav�. Joo Cost Information(Y/N) <br /> Start Date r � Time Date Compieted ��LZa�4 Permit No <br /> Completed By Time Follow Up? <br />