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Work Activity Work Order P°°` 1 <br /> �;�3o�zoia ii:z-r <br /> Issued By HLJ HUSBY,LANCE J. <br /> Issued Departmentaw PUBLICWORKS <br /> Date Issued s�aza�a <br /> Fund ao� Account 5 Program Function Activity <br /> Progiam UT747J a 3 <br /> TIIIE CONVERT 75 INCH 520 WAVERLY AVE UT3473-0-3 <br /> Work Order No 20141335 Project Activiry Type CORRECTIVE IdAINTENANCE $181U5 CL <br /> Status e�a�2oia Time oz3i Original WO Billing <br /> Customer Infortnatlon <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> Stale Z�p <br /> Subdivision Change Map Y/N <br /> Phone No ( � - Ext <br /> SecondPhone ( ) • EM �"'-" ---- ` <br /> E-Mail Address <br /> -- — -__ _- - <br /> Problem Information <br /> Address 5pp Street WAVERLYAVE <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 /> Utdity Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date _ _ _ ,,, �,� i i,•'�r ; ��- <br /> Scheduled Date Scheduled Time _ �'- .� �i`'�' °��'� �� �I `� � ��� - � <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURPSTOP TO.751NCH SETTER WITH METER AND BOX.METER PROJECT. <br /> Recommended Action <br /> Approved By RJP RAPELYEA,JASON P JOb COSI If1(OfTi18lI0f1(YIN) <br /> Start Date � i Time Date Completed 6141201< Permit No _ <br /> Completed By _ _ Time ___ Follow Up7 <br />