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pa3o 1 <br /> Work Activnty Work Order �,G,��,. , e:ss <br /> ISSU2d BY HLJ HUSBY,LANCE J. <br /> Issued Departmentaw PUBLICWORKS <br /> Date Issued ansizo�� Function Activity <br /> Fund aot Accounts Program <br /> Program uTaa�a s s <br /> Titie CONVERT.75 INCH 2511 MAPLE ST UT�473-33 <br /> Work Order No 20130757 PfOJ@C1 Activiry Type CORRECTIVE MAINTENANCE Sf8h15 CL <br /> Status ans�zois Time os s� Originai WO Billing — <br /> Customer Information Customer ld <br /> CustomerName � <br /> Address Street <br /> Apartment No ��ry <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext — <br /> Second Phone ( ) - Ext <br /> E-Mail Address — <br /> Problem Information <br /> Address yg�� Street MAPLEST <br /> From Cross Street <br /> To Cross Street Z�P <br /> City <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER Date Requested <br /> Requested By Related Request <br /> Agancy <br /> Initiated From Ex iration Date <br /> Utility Locate (USA) No Called Date P <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By To Be Com; Date <br /> A:,signed Date __ <br /> Sch+:duled Date __ Scheduied Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken COIJVERT.751NCH CURBSTOP TO.751NCH SETTER WIMETER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By Hw HuseY,tsNCE�. Job Costlnformation(YIN) <br /> Start Date ! � <br /> Time Date Completed aiztizata Permit No <br /> Completed By Time Follow Up? <br />