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Work Rclivity Work Order Fa9� ' <br /> io/zo/zeis ia : to <br /> -------- - —. <br /> ISSU2d By HLJ HUSBY,LANCE J. <br /> Issued Departmentaw PUBLIC WORKS <br /> Date Issued 91912015 <br /> Fund �o� Account 5 Program Functicn Actiwry <br /> Prcgram UT147J e a <br /> TIIIB CONVERT 751NCH 1030 W[ih10RE AVE UTJA7��6-J <br /> Work Order No Z��5Z��2 PfOJBLI Activiry Type CORRECTIVE M�INT[NANC[ Sl3WS CL <br /> StaWs 9�yao+s Time �z ze Onginal WO Billing <br /> Customer Infortnation <br /> Cusromer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdrvision Change Map YiN <br /> Phone No ( � • Ext <br /> Second Phone l 1 • Ext <br /> E-Mail Address <br /> Problem Information <br /> --- <br /> Address 1030 Sireet �.yETMORE AVE <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 /> Requesled By Date Requee�ed <br /> Agency Relaled Requesl <br /> Inibated From <br /> Ut�hty Locate (USA) No Called Date Exp�ration Date <br /> Assignment Information <br /> Dept Prionry Estimated Hours <br /> Crew <br /> ConUactor <br /> Assigned To <br /> Assigned By �.1 ": .'1 �.S t�� �-:ii<� '' . <br /> . . ,>. <br /> Assigned Date __ To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Roule Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP TO.751NCH SETTER WITH METER AND BOX FLAT TO METER <br /> PROGRAM. <br /> Recomme�ded Action <br /> Approved By AJJ ARCHAM1tUf AULT,JOHN J Job Cosl Informatron(YiN) <br /> Start Date r � Time Dale Compieted ynanots Permil No <br /> Completed By Time FOPow Up� <br />