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Page 1 <br /> Work Activity Work Order 6���zp13 �1:3� <br /> ISSUOd BY MWE MOORE,WARREN E. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued 412 312 01 3 pro ram Function Activity <br /> Fund ao� Account5 9 <br /> Program UT3473 3 3 <br /> Tltle CONVERT,751NCH 1811 MAPLE ST UT3473-3•3 <br /> Work Order No Z��30tl4Z Project Activity Type CORRECTIVE MAINTENANCE S►BIUS CL <br /> Status 4R312013 Time oe:ss Original WO __ Billing — <br /> Customer Information Customer ld <br /> Customer Name <br /> Address Streel <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) • Ext — <br /> Second Phone ( 1 • Ext <br /> E-Mail Address -- <br /> Problem Information <br /> Address �g» Street MqpLE ST <br /> From Cross Street <br /> To Cross Street ZiP <br /> Ciry Map Book Map Reference <br /> Subdivision <br /> Probleri WATER WATER <br /> Sub Problem OTHER OTHER Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initi2ted From <br /> Utility Locate (USA} No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By To Be Comp Date I <br /> Assigned Date ___ <br /> Scheduled Date __ Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSTOP TO.75 INCH SETTER WI AIETER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ HUSBY,LANCE J. JOb COS�IflfOft718I1Of1(Y!N� <br /> Start Date i � <br /> Time Date Completed FN912013 Permit No <br /> Completed By Time Follow Up7 <br />