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Work Activity Work Order <br />Issued 6y HLJ HUSBV, LANCE J. <br />Issued Deparlment Pw PUBLIC WORKS <br />Date Issued �vvzo�5 <br />Fund ao� Accounts Program <br />Program uTa�n e 3 <br />TiUe CONVERT 5 �NCH 9+9 WALI 5T UT34i3�B 3 <br />Work Order No 20152462 Pro�ect <br />Status nreizois Time o� �s Onglnal WO <br />p.� _ �, . <br />l;i i,._ .. ..._S1 <br />FcncUcr ACUv�,y <br />Activ�ry Type COHP.ECTNE I.MINTEN�NCE <br />Bdlmg <br />Customer Infortnation <br />Customer Name Custcmer ld <br />Address S;reet <br />Apartmeni No Gry <br />State Z�p <br />Subdrvision Change �dap Y/N <br />Phone No � ? - Ezt <br />Second Phone � i - Ext <br />E-Ma�l Address <br />Problem Information <br />Address g�g Streel yyALL ST <br />From Cross Street <br />To Cross Slreet <br />Gty Lp <br />Subdivision Map Book Map Reference <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By Dale Requested <br />Agency Related Request <br />Initiated From <br />Utdity Locate (USA) No Called Dale Expirat�on Date <br />Assignment �nformation <br />Dept Pnority Fshmaled Hours <br />Crew <br />Contractor <br />Assigned To <br />Assigned E3y 1:' �;� �, ° 1 �"'"';ti <br />Assigned Date To Be Comp Date � ^" ' <br />Scheduled Date Scheduled Time <br />Route Roule Sequence <br />Comments <br />Action Taken CONVERT .S INCH CURB StOP T0.751NCH SETT[R WITIi M[TEF /1NC BOX. FLAT TO ME7ER <br />PROGRAM. <br />Recommended Action <br />Approved By WDI. �VEAVER, DEAN L <br />Start Date r � Time <br />Completed By <br />$I2IU5 CL <br />Job Cost Information(Y/N) <br />Date Completed �v�azo�s Permit No <br />Time Follow Up? <br />