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� <br /> Work Activity Work Order Pd9� ' <br /> �/1�/zois i•a o� <br /> ----- -- -- - - — - ----- -- - -- - - - <br /> ISSUBd By WDL WEAVER,DEAN L. <br /> Issued Departmenl pw PUBLIC WORKS <br /> Date Issued ansito�s <br /> Fund aot Account s Program Function Activity <br /> Program UT347J 6 a <br /> Title CONVER7 75 1NCH 1431 WETMORE AVE UTJ473�6�3 <br /> Work Order No 201518T2 PfOjOCt Activiry Type CORRECTIVE MAINTENANCE StatUS CL <br /> Status 8/192015 Timeis:s3 OriginalWO Billing___ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No Cily <br /> Stale Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone l ) • Ext - - - -- ----- - - - <br /> E-Mail Address <br /> Problem Information � <br /> �ddress 143� Street yyETMOREAVE <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 /> Inihaled From <br /> Utdity I_ocatr. (USA) No Called Dale Expiration Date <br /> Assignment Information <br /> Depl Priority 1'N;�,4Estimaled Hours <br /> Crcw ` �- .�,j.�•1); ;• <br /> CoMraclor ' � ��+� �i:j !; ,... <br /> Assigned To � <br /> �ssigned By <br /> Assigned Date _ _ To Be Comp Date <br /> Scheduled Dale Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NC�1 CURBSTOP T0.751NCH SETTER METER AND BOX.FLAT TO METER <br /> PROGRAM. <br /> Recommended Action <br /> Approved By p,l� ARCb{qM13EAULT,JOHN J JOb COSf ItI�OfR12UOt1(Y/N) <br /> _ _ ._ __ _. _ _ __ .. _ . --_.__. <br /> Start Date i � Time Date Completed ei2si2o�5 Permil No <br /> Compleled By Time Follow Up? <br />