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Work Activity Work Order _, ��:; ; ,__ <br /> ISSUEd By HLJ HUSBY,LANCE J. <br /> Issued Departnent aw PUBI.IC WORKS <br /> Date Issued 7I612013 Program ��o Function �ie Activity s�s <br /> Fund aot Accounts <br /> Program <br /> TIflO CONVERT.i5 WCH 9430 1ST AVE SE <br /> Work Order No 20130595 Project Activiry Type SERVICE REOUEST Status c� <br /> 3;s2o�s Time or.is _ OriginalWO _ _ __ . _ Rilling __ __ ___ _ - _ ---- <br /> Status __ <br /> Customer Information Customer ld <br /> Customer Name YVOOD,FRANCES <br /> address �ea3a Street isr nve se <br /> Apartment No City <br /> State Z�P <br /> Change Map YIN <br /> Subdivision <br /> Phone No ( azs ) 353•1772 Ext - - <br /> Second Phone ( 1 • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 9430 Street iSTAVESE <br /> From Cross Street <br /> To Cross Street Zip <br /> City <br /> Subd:vision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER Date Requested sisno�s <br /> Requested By HSR HOFFMAN,STEVEN R. <br /> Related Request oott�as7 <br /> Agency <br /> Initiated From PUBLIC Pueuc Called Date Expiration Date <br /> Utility Locate (USA) No <br />, Assignment Information Priorit Estimated Nours <br /> Dept PW PUBLIC WORKS y <br /> Crew <br /> Contractor <br /> Assigned To SJT2 �POONER.JA',1[S T <br /> Assigned By To Be Comp Dale <br /> Assigned Date _ ___ - <br /> Scheduled Date _ Scheduled Time _ ___ <br /> Route Route Sequence <br /> Comr�ients <br /> Action Taken CONVERTED T0.75INCH SETTER WITH.751NCH SETTER WITH JUMPER AND MOLDED BOX. <br /> Recommended Action <br /> Job Cost InFormation(YIN) <br /> Approved By WDL �AVER. DEAN L - - — <br /> Time Date Completed �isizo�3_ _ Permit No _ <br /> Start Date � i ----- <br /> Completed f3y - - - Time Follow Up?_- - _ <br />