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Work Activity Work arder "°� 1 <br /> e/��l:oi4 e:ai <br /> ISSUed By HLJ HUSBY,IANCE J. � <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued nvzou <br /> Fund ao� Account s Prograrn Function Activity <br /> Program UT3473 e a <br /> TitlO CONVLRT ]S I�CH 2830 MEDORA WAY UT3473�4-3 <br /> WO�k OfdBf NO ZO�42OS� Project Activiry Type CORRECTIVE MAINTENANCE SI8tU5 CL <br /> Status �n�2o�a Time �sao Original WO Billing _______ <br /> Customer In(ormation <br /> Customer Name Castomer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivlsion Change Map Y/N <br /> Phone No � � • Ext <br /> Second Phone ( 1 - Ext <br /> E-Mail Address <br /> — _ _ -_ <br /> Problem Information <br /> hddress 2830 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 /> Inihated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Iniormation <br /> Dept Priordy Estlmated Hours <br /> C rew <br /> Contractor <br /> Assigned To <br /> Assigned Oy <br /> Assi ned Date T o E3e Comp Date <br /> 9 i.� ����. �.,; �wy �p���,u �:i <br /> Scheduled Date Scheduled Time '''�'��"���y � °i'�`' ' <br /> Roule Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSiOP TO.75 INCH SETTER WITH MEiER AND BOX.FLAT TO:JIETER <br /> PROJECT <br /> R�commended Action <br /> Approved By HLJ HUSBY, LANGE J Job Cost Information(Y/N) <br /> Start Date r i Time Date Completed ��eno�a _ _ Permil No <br /> Compleled By Time Follow Up7 <br />