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Work Activity Work Order �'y� 1 <br /> 10/20;2015 13:55 <br /> . _ _---__.—._ __—___--. _.__—_—_ —_—'--_—. _ <br /> ISSUEd BY � HLJ HUSBY,LANCE J. <br /> Issued DepartmentPw PUBLICWORKS <br /> Dale Issued snaixo�s <br /> Fund eo� Account s Program Function Actiwry <br /> Program utaa� s a <br /> Title CONVERT 751NCH 1424 WET�dORE AVE UT34776-3 <br /> Work Order No 20152046 Pro�ect Actiwiy Type coaRecnve MAiNreNaNce Staws c� <br /> Slatus cnano�s Time ts2i Original WO Billing <br /> Customer Information <br /> Customer Name Cusromer ld <br /> Address Street <br /> Apartment No Ciry <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( l • Ext <br /> Second Phone ( l - Ext - -- <br /> E-Ma�l Address <br /> Problem Information <br /> Address �qyq Street yyETMOREAVE <br /> From Cross Street <br /> To Cross Street <br /> City Lp <br /> Subdrvision Map E3ook Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Rela;ed Request <br /> Initiated From <br /> Utility Locate (USA1 iVo Called Date Expirabon Date <br /> Assignment Information <br /> Dept Pnonry Estimated Hours <br /> Crew <br /> Contraclor <br /> Assigned To <br /> Assigned By , _ , „ <br /> Arigned Date To Be Comp Date ' " , <br /> , ... �r�,i y�i c• j ''.:.�3,,.� .� <br /> Scheduled Date Schedul��d Time <br /> Route Raute Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCfi CURBSTOP TO.75 INCH SFTTER WITH METER AND BOX.FLAT TO METER <br /> PROGRAM. <br /> Recommended Action <br /> APpfOv@d By EAL ERICKSON,ANDREW�. Job Cost Information(Y!N) <br /> Start Date i � Time Dale Completed vne�2ou Permit No <br /> Compleled By Time Follow Up� <br />