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Work Activity Work Order Pa9e 1 <br /> 9/17/2015 10:16 <br /> ___.__.—_________ . _._________- _..—. ________ _._..—._ ..._..___-__.—.__ —____—____ . . . _ __._ <br /> ISSU2d By WDL WEAVER, DEAN L. <br /> Issued Department Pw PUBLIC WORKS <br /> Datelssued ensnois <br /> Fund qot Account 5 Program Function Activity <br /> Program uiaa�a e a <br /> Title CONVERT 751NCH 1031 WETMORE AVF U73173-6�3 <br /> Work Order No Z��5�9�2 PfOfBCI Activity Type CORRECTIVE MAMTENANC[ $I8fU5 CL <br /> S�atus e�zsrzo�s Time �sos Original WO Billing <br /> Customer Iniormation <br /> Cusromer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivi�+�^ Change Map Y/N <br /> Phoae No ( 1 - Ext <br /> Second Phone i ) • Exl -- - <br /> E-Mail Address <br /> Problem Infortnation <br /> Address 103� Street WETMOREAVE <br /> From Cross Street <br /> To Cross Sireet <br /> City Zip <br /> Subdivision Map Book Map Reterence <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requesled 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 Estimaled Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Da�e `�� .� .`!i��,'"pj <br /> . . . _.. . 1: �''� 0_.���:7(ij, <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCFi CURBSTOP T0.751NCH SETTER METER AND DOX.FLAT TO METER <br /> PROGRAM. <br /> Recammended Action <br /> Approved By EAL ERICKSON,ANDREW L JOb COSi If1(Offt1a60I1(Y/N) <br /> Start Oate i � Time Date Completed niavso�s Permit No <br /> Completed 8y Tlme Follow Up? <br />