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Work Activity Work Order F'�9r ' <br />,�i3izots ,� -. <br />-- — -- — — -- <br />Issued By HLJ HUSBY, LANCE J. <br />Issued Departmentaw PUBLICWORKS <br />Dale Issued 7 11912 01 5 <br />Fund aot Accounts Program Function Achwty <br />Program ura��a 8 3 <br />TIll2 CONVERT 5 INCH 521 WALL ST UT347J-B�7 <br />WOfk OfdOf NO 20152461 PfOJ2Ci Ad�v�ty Type COPRECTIVF IdAIN7FNANC[ $181U5 CL <br />Status iv9�zois Time o>>z Onginal WO &Iling <br />Customer Information <br />Customer Name Customer ld <br />Address Street <br />Apartment No City <br />State Z�P <br />Suodivision Cr,ange Map Y�N <br />Phor.e No i 1- Ext <br />Second Phone � i - Ezt <br />E-Mad Address <br />Problem Infortnation <br />Address gp� Street yyALL ST <br />From Cross Slreet <br />To Cross Street <br />City Zip <br />Subdiwsion Niap Book �19ap Referecce <br />Problem LVATER WATER <br />Sub Problem OTHER OTHER <br />Requested By Date Requested <br />Agency Related Request <br />Indiated From <br />Utility Locate (USA) No Called Date Expiralion Dafe <br />Assignment Information <br />Dept Prinnry E56mated Hnurs <br />Crew <br />Contractor <br />�ssigned To <br />Ass�gned By !'.•'; �_.�:' �'i i'�), ,,y f1 �i. '�; �,t I:' �r; <br />Assigned Gale To Be Comp Date - <br />Scheduled Date Scheduled Time <br />Route Rou;e Sequence <br />Comments <br />Action Taken CONVERT .5 INCH Cl:RB STOP TO .751NCH SETT[R WITN METER AND BO%. FLAT TO METER <br />PROGRAM. <br />Recommended Action <br />Approved ay y�p� wenvta oeaN � Job Cost Informalion(Y/IJ) <br />Start Date i r Time Date Completed �v�o�zo�s Permit No <br />Completed By Tlme Fol'ow Up� <br />