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Page i <br /> Work Activity Work Order 6�7�2013 ��:45 <br /> Issued f3y MWE MOORE,WARREN E. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 412 412 0 7 3 pro ram Function Activity <br /> Fund ao� Accounts 9 <br /> Program UT3473 s � <br /> Title CONVERT.75 INCH 1275 MAPLE ST UT3473-3•3 <br /> 20130868 PfOJOCl Activity Type CORRECTIVE MAINTENANCE S�dfUS CL <br /> Work Order No Billin <br /> Status anaizo�s Time �s:o� Original WO 4 — <br /> Customer Information Customer ld <br /> Customer Name Street <br /> Address <br /> Apartment No City <br /> State Z�P <br /> Change Map Y/N <br /> Subdivision Ext <br /> Phone No � � ' <br /> Second Phone ( 1 - Ext <br /> E-Maii Address — -- <br /> Problem Iniormation Street MAPLE ST <br /> Address 1215 <br /> From Cross Street <br /> To Cross Street ZiP <br /> Ciry Map Boolc Map Refe�ence <br /> Subdivision <br /> Problem WATER WATER <br /> Sub Probiem OTHER OTHER pate Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated From Called Date Expiration Date <br /> Utility Locate(USA) No <br /> Assignment Information Priority Estimated Hours <br /> Dept <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By To Be Comp Date <br /> Assigned Date __-- <br /> Scheduled Date _ Scheduled Time i <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP TO.751NCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Job Costlnformation(YIN) <br /> Approved By HLJ HUSBY,IANCE J. T�me Date Completed 5H512013 Permit No <br /> Start Date i I — <br /> Compleled By <br /> — Time Follow Up? <br />