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Work Activity Work Order Paae � <br /> 5/5/2013 °:71 <br /> ISSUBd By HLJ HUSBY,LANCE J. <br /> Issued Departmen!aw PU@LIC WORKS <br /> Date Issued 4I15I2013 <br /> Fund aot Account 5 rogrem Function Activity <br /> Program aa�s a � <br /> TIfIC �CONVERT 751NCH 2527 MAPLE ST UT3473-33 <br /> WOfk OfdEf NO 20130755 PfOJ@Cf A�tiviry Type CORRECTIVE MAINTENANCE SfBfUS CL <br /> Status __ ansizoi3 Time oa a2 _ Originei WO Billing <br /> Customet Information <br /> Cust��er Name Customer ld <br /> Address Street - <br /> Apartment No City <br /> State 7_ip <br /> Subdivision Change Map Y/N <br /> "�one No ( ) - Ext <br /> Second Phone ( ) - E,.i -- <br /> E-Mail Address <br /> Problem Information <br /> Address Zgp� Street MAPLEST <br /> From Cross Street <br /> To Cross Street <br /> Ciry zip <br /> Subdivision Map Book Map Referenc2 <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested Bv Date Requested <br /> Agency Related Request <br /> initiated From <br /> Utillty Locate (USA) No Called Date Expiration Date <br /> Assignment I�form3tion <br /> Dept Priority Estimated No��rs <br /> Crew <br /> Contracror <br /> Assigned To <br /> Assigned By <br /> Assigned Date _ To Be Comp Date __ <br /> Scheduted Date Scheduled Time <br /> Route Route Sequence <br /> �omments <br /> Action Taken CONVERT.751NCH CURBSTOP TO.751NCH SETTER WIMETER AND BOX.FLAT 1'O METER <br /> PROJECT <br /> Recommended Action <br /> Approved By H�� Husev, uNCE�. Job Cost Information(Y/Nj <br /> Start Date i r Time Date Completed an2no�a Permit No <br /> Completed By Time Follaw Up? <br />