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Work Acfiivity Work Order page 1 <br /> 7/3/2014 9:96 <br /> Issued By HLJ HUSBY,LANCE J. <br /> Issued Department rw PUBLIC WORKS <br /> Date Issued 61�12011 <br /> Fund ao� Accou�t s Program Function Activity <br /> Program ur347a a 3 <br /> Till2 CONVERT 75 INCN 607 WAVERLY AVE UT3473-0•3 <br /> WOfk �fdE'f�VO 20141399 PfOJBCf Activiry Type CORRECTNE AMINTENANCE Sf0tU5 CL <br /> Status eianoia Time �5as Orig�nal W0 _ Billing _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No Cily <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( 1 • Ext <br /> Second Phone l 1 • Ext <br /> —E•Mai6Address- - -- -- -- — ---- _ _ -- - - — . .-- - _ <br /> Problem Information <br /> Address 607 Street yyAVERLYAVE <br /> From Cross Street <br /> To Cross Street <br /> Ciry zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Requesl <br /> Iniliated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Fstimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assi ned Date To Be Comp Date <br /> 9 '�'�; ;��.; • <br /> Scheduled Date Scheduled Time _ �� - �� ; ��'��`;�� �j� '�,�� �=i ,�� � <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCN CURBSTOP TO.75INCH SETTER WIR1 METER ANp BOX.METER PROJFCT. <br /> Recommended Action <br /> Approved By HW Husev,�n,r�ce� Job Cost Information(Y/N) <br /> Start Date � I Time _ Date Completed 6na�zota __ Permit No _ <br /> Completed By Time Follow Up? <br />