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Work Activit�+ Work Order "� i _ <br /> ISSU2d BY MWE MOORE,WARR[N E <br /> Issued Depar.nent aw PU9LIC WORKS <br /> Date Issued aizz�zo�a <br /> Fund ao� Account s Program Function Activity <br /> Program UT3477 a � <br /> I Itl2 CONVERT75 fJCH 3019 VICTOR PL UT3473-3-3 <br /> Wor!c ^rder No ���1�822 P.-.,�ect Activity Type CORRECTIVE h1AINTENANCE SfBfUS CL <br /> Status arzzna�3 Time +as� Original WO __ Billing _ ___ _ ____ __ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No ���Y <br /> State Z�P <br /> Subdivision Change Map Y!N <br /> Phone �o ( 1 - Ext _ _ <br /> Second Pho�ie � 1 - Ext -- <br /> E-Mail Address _ __ _ _ __ _ _ _ _ . <br /> Problem Information <br /> Address 3013 Slreet VICTOR PL <br /> From Cross Street <br /> To Cross Street <br /> City ziP <br /> Subdivision M-�p Boek Map Reterence <br /> Froblerr WATER WATER <br /> Sub Problem OTNER CTHER <br /> R.equested By Date Reqcested <br /> Agency Reiated Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignmeni Information <br /> Dept Priority Es!imated Hou:s <br /> Crew <br /> Contractor <br /> Assigned To <br /> �� Assigned By To Be Co�n Date <br /> � Assigned Date P __ _ . -- <br /> Sched�led D.�te Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVEFiT.751NCH CURBSTOP TO.751NCH SETTER WI METER AND 8.��.FLPT TO METER <br /> �ROJECT. <br /> Recommended P,ction <br /> Approveo By Fs� FISHER.BOBBY L. JUb COSt lnformation(Y/IJ; _ <br /> Start Date i i Time _ Date Completed S�eizots ___ _ Per.�iit No__ <br /> Ccmplr.;ea Gy - . Time Follow Up7 <br /> � ` <br />