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Work Activity Work Order �°9� ' <br /> to/zo/zots ta: i3 <br /> --- - --- - — --- — <br /> ---- ---- - --- - <br /> ISSU2d By HLJ MUSBY,LANCE J. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 919Rp15 <br /> Fund ao� Account5 Program Function Achwry <br /> Program uraaa 5 � <br /> TitlE CONVERT J51NCH t 1 t0 WETA"ORE AVE UTJ4T3�6�3 <br /> Work Order No 20152015 P�OJBCt ACtiviiy Type CORRECTIVE hWiNTENANCE St0tu5 Cl <br /> Status s�9izoi5 Time �z 3s Original WO _ __ Billing _ <br /> Customer Infarmation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdrvision Chanoe Map YiN <br /> Phone No 1 1 - Ext <br /> Second Phone l I - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address �i�p Street yyETMOREAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book �dap Reference <br /> Problem WATER WATER <br /> Sub Problem OrHER OrHER <br /> Requested 8y Date Requested <br /> Agency Related Request <br /> IniUated From <br /> Ut�lity Locate(USA) No Called �ate Expiretion Oate <br /> Assignment Intormation <br /> Dept Pnonty Estimaled Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By •' ' � � . <br /> Assigned Date To Be Comp Dale ' ' ' ' � �.�:''��. (`ij ,_' �•� <br /> Scheduled Date Scheduled Time <br /> Raute Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSTOP TO.75INCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROGRAM. <br /> Recommended Action <br /> Approved By AJJ ARCHAMO[AULT,JOHN J Job Cos' .,ormation(Y/N) <br /> Start Date � � Time Date Completed 9/1512015 Permit No <br /> Completed 8y Time Follow Up� <br />