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Work Activity Work Order n�3` ' <br /> Fi;_,i��:y :i:�� <br /> _ _ _ — -- - -- - <br /> -- <br /> Issued By HLJ HUSBV,LANCE J. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued 61412014 <br /> Fund ao� Account 5 Progr2m Function Activiry <br /> Program UT3p3 4 s <br /> Tl�le CONVERT]S INCH 514 WAVERLY AVE UT3473-03 <br /> Work Order No 20141334 Project Activiry Type CORRECTNL IdAINTENANCE Status c� <br /> Status eraizo�a Time o�zs Original WO _ _ Bdl�ng _ _ <br /> Customer Information <br /> Customer Name Customer id <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change M;p Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( 1 - E�R — - <br /> E-Mail Address <br /> Problem Information <br /> Address S�q Street yyAVERLYAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Re(erence <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utiliry Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Prioniy Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To �e Comp Date <br /> �, � �� � rr�car:t ��r <br /> ScheduledDate ScheduledTime __ l�� ll'��I`I�������� � I��L_,!",�- <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 1NCH CURBSTOP T0.75 1NCH SETTER WITH METER AND BOX. METER PROJECT. <br /> Recommended Action <br /> Approved By RJP w�PE�vEn,�nSota a. Job Cosl Information(YIN) <br /> Start Date � � Time Date Completed s�anota Permit No <br /> Completed By__ _ _ Time Follow Up? _ <br />