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Work Activity Work Order Page 1 <br /> 9/17/2015 9:54 <br /> ISSU2d By WOL WEAVER,DEAN l. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued ensi2a�s <br /> Fund eo� Account 5 Program Function Activity <br /> Program uta4�1 e a <br /> TIIIC CONVERT.751NCH 1025 WETMORE AVE UT347J�6-3 <br /> WOfk OfdEf NO ?O�S�9O7 PfOJeCt ACiIVity TypB CORREGTIVE MAINTENANCE SfatUS Cl <br /> Status eiuno�s Time �s:3z Original WO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No 1 ) • Ext <br /> Second Phone ( ) • Ext — <br /> E-Mail.4ddress <br /> Problem Iniormation <br /> Address �0P5 Street yyETMOREAVE <br /> From Cross Street <br /> To Cross Streel <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTNER <br /> Requested By Date Requesled <br /> Agency Related Request <br /> Inilialed From <br /> Utility Locate (USA) No Called Date Expiralion �ate <br /> Assignment Information <br /> Dept Pricnty Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned Eiy <br /> Assigned Date __ _ To Be Comp Date c � , <br /> Scheduled Date Scheduled 7ime ___ _ _ -� � `*; t��'�g�- �{:j'�� .:� <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75�NCH CURBSTOP TO.75 INCH SETTER METER AND BOX.i'LA1 TO METER <br /> PROGRAM. <br /> Recommended Action <br /> Approved By EAL ERICKSON,ANOREW L. JOb COSI Ifl(Off)1a110�(Y!N) <br /> Slart Date � i Time Date Completed aiavzo�s Permit No <br /> Compleled By Time Follow Up? <br />