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Page 1 <br /> Work Activity Work Ord�r ,,3,�0„ 9:51 <br /> Issued By HLJ HUSPY,LANCE J. <br /> i�sued Departmentaw PUBLICWORKS <br /> L�ate Issued 61412014 <br /> Fund eot Account s Program Function Activiry <br /> P�ogram uT3n�a a a <br /> TI�IQ CONVERT]SINCH 711 WAVERLY AVE U 3473�4-3 <br /> Work Order No 20141396 Project Activiry Type CORRECTIVE MAINTEN.4NCE $12�US CL <br /> Status ein�zoia Time is:as__Original WO _ ___ Billing _— <br /> Cu�tomer Information <br /> Customer Name Customer ld <br /> Addre�s Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 - EM --- — - ---- <br /> Second i hone ( ) - Exl <br /> - -- - - <br /> -- - =_ _ <br /> --- - — . .- . <br /> ---E-Mail-Address--- _- - _- - -- - •-< - -- -_ --— — <br /> Problem Infom�ation <br /> Address »� Street yyAVERLYAVE <br /> From Cross 5treet <br /> To Cross Stree_t <br /> City Z'p <br /> Subdivision Map Book Map Reference <br /> Problem VI/ATER WATER <br /> Sub Proble�m OTFIER OTHER <br /> Re uested B Date RequesteC <br /> q Y Related Request <br /> Agency <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Co�tractor <br /> Assigned To <br /> Assigned By To Be ComD Date (�"�I�,:r� r;�� r;� ' ,� <br /> AssignedDate __— -- �... ��1_ ��, _�_�ir'�l�'_���_Ji��;;'s <br /> Scheduled Date Scheduled Time _._ <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSTOP TO.751NCH SETTER WITN METER AND 80X.METER PROJECT. <br /> Recommended Action <br /> Approved By HW HUSBY.LANCE J. JOb CO51 IflfOff118l1Of1(YIN) , <br /> Time Date Completed 6H81201a Permit No _ __ <br /> Start Date r r ___ � - — <br /> Time Follow Up?_______ <br /> Completed By __ __ - -- <br />