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Work bctivity Work Order Pa�e 1 <br /> �/3/�o:a 9:a3 <br /> ISSUed By HL: HUSBV,LANCE J. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued eiazo�a <br /> Fund aot Accounl5 Program Function Ac6vity <br /> Program ursa�s a a <br /> TIfIE CO�VERT.751NCH 505 WAVERLY AVE UT3473�-3 <br /> Work Order No Z0�4�4�� Project Activity Type CORRECTIVE MAINTENANCE S1211JS CL <br /> Status e�arzoia Time u be_ _Original WO __ Billing_ _ __ __ __ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 • Ext <br /> Second Phone ( 1 • Ext -" — -- <br /> -:: -E-MailAddress - _-.-- -.---- _-: . - — _ __ :.-_-._ -_ _ - ,. -- — .:_ _- .._ — _ - _ <br /> Problem Iniortnation <br /> Address 505 Street yyAVERLYAVE <br /> From Cross Street <br /> To Cross Street <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 /> Utiliry Lowte(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Prionty Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date _ To Be Comp Date <br /> ScheduledDate _.___ ScheduledTime __ � �:�:1��_>.j 1.J:r:i:��,.�';;',�;_' :,.; <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP TO.751NCH SETTER WITH METER AND BOX.METER PROJECT. <br /> Recommended Action <br /> Approved By Hu Huser,uNCE d. Job Cost Information(Y/N) <br /> Start Date � i Time Date Completed eneno�a_ Permit No <br /> Completed By __ _ _ Time _ Follow Up? _ <br />