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Work Activity Work Order "': � <br /> ,�: ���:.,: , . ;�3 <br /> ISSUed By HLJ � HUSBY,LANCE J. <br /> Issued Department rw PUBLIC WORKS <br /> Date issued 71812015 <br /> Fund aoi Account 5 Program �to Functic� ii9 Actiwry e�s <br /> Program <br /> Tdie CONVERT 751NCH 620 WFRREN AVE <br /> Work Order No 20151592 Pro�ect Act�wry Type COFRFCiIV[IMIN1[NANCE Status c� <br /> Status �ie:zc�5 Time �szs OnginalWO _ __ _ Bdhng <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No ��ry <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( � - Exl _ _ _ <br /> Second Phone � � - Ext <br /> E-Mad Address <br /> Problem Inlormation <br /> Address gpp Street yyARREN AVE <br /> From Cross S'reet <br /> To Cross Street <br /> City Z�P <br /> Subdiwsion Map Book htap Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested �y Date Requested <br /> Agency Reiated Request <br /> Imhated From <br /> Utdity Locale (USA) No Called Date Expira6on Date <br /> Assignment Information <br /> Dept Pnority Eshmated liours <br /> Crew <br /> Contractor <br /> Ass�gned To <br /> Assgned By <br /> Assigned Date _ To Be Comp Date <br /> Scheduled Date _ _ Scheduled T�me <br /> Route Route Sequence <br /> Comments <br /> Action Taken FLAT TO METER OWNER REOUEST.CONVERT.751NCH CURB STOP TO 751NCH SETTER WITM <br /> METER AND BOX. <br /> Reeommended Actlon <br /> Approved By wo� �^1EAVER,DEAN L Job Cost Information(YIN) <br /> Start Date i � Time _ __ Date Completed 7�ano�5_ _ __ Permit No <br /> Compleled By Time Follow Up� <br />