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Work Activity b'Vork Order ei�° 1 <br /> ,:,i:i�o�4 .� �o� <br /> — --— --- — ----- --- ----- <br /> Issued By HLJ HUSBY,LANCE J. <br /> Issued Department Pw PUBLIC WORKS <br /> Da1e Issued 1 7 1512 01 4 <br /> Fund 40� Hccounts Program Funclion AcF.ity <br /> Program ur�a7s s a <br /> TIIIE CONVERT 751NCH 151 i HUCKER AVE UT3473�5•3 <br /> Work Order No 20143290 Project Activity Type coRRecTive r,qr.iNt[NnNce Status a_ <br /> Status _ !�=no�a _l"ime o�03 Original WO __ Eiilhng _ _ __ _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No C•ty <br /> State Zip <br /> Subdivision Change .tap Y/N <br /> Phane No ( ) - Ext <br /> Second Phene � ) • Ext --- - —-- --- <br /> GMail Address <br /> Pr�blem Information <br /> Address 15�1 Streel RUCKERAVE <br /> From Cross SUeet <br /> To Cross Sir�et <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utihty Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Depl Pr�nnty Eshma�Pd Hcurs <br /> Crew <br /> Conlractor <br /> Assigned Io <br /> Assigned [?y <br /> Assigned Uate _ _ _ _ l o !3e Con,p Date <br /> Scheduled Dale Scheduled Time ?�3 ,,; ° <br /> �oute Route Sequence �� r` `'��`'��?_;�`?f'Q i <br /> •-I`. . . <br /> Comments " <br /> Action Taken CONVERT.751NCH CURBSTOP T0.751NCH SE77ER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By rtvc R000u+Nr,vANc[c Job Cost Information(Y/N) <br /> Start Date � � Time Dzte Compleled tvsizota Permit No <br /> Completed By Time Follow Up7 <br />