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Work Activity Work Order Page � <br /> 9�i��zois io:zz <br /> ISSUBd By WDL WEAVER,DEAN L <br /> Issued Department aw PUBLIC WORKS <br /> D2te Is�ved arzsno�s <br /> Fund �o� Account 5 Program Function Activity <br /> Program uraa�a 6 3 <br /> Titie CONVERT.751NCH 1117 WETMORE AVE UT7<73-6-J <br /> Work Order No 20151897 Project Activiry Type CORRECTIVE MAINTENANce Status c� <br /> Status____ arzsnois Time aa�a Original W0 Billing _ _ _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State 2ip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) • Ext <br /> Second Phone ( ) • Ext --- — — - <br /> E-Mail Address <br /> Problem Information � <br /> Address 117 Slreet yyE7'MOREAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Iniliated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Prioriry Estimaled Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> nssigned By <br /> Assigned Date ___ ._ To Be Comp Dale _ _ <br /> Scheduled Date _ . __ _ Scheduled Time __ •��.\�j� 4���� � ,. <br /> Route Route Sequence �, .,,. �:; S?, <br /> Comments <br /> Action Taken CONVERT.75INCH CURBSTOP TO.751NCH SETTER METER AND BOX.FIAI TO METER <br /> PROGRAM. <br /> Recommended Action <br /> Approved By q�� ARCHAMBfAUR,JOHN J JOb COSI I�(OffT1860f1(Y/N� <br /> Start Date i � Time Date Completed enenots Permit No <br /> --- — — -- — — - — <br /> Completed By Time Follow Up? <br />