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Work Activity Work Order ''�°" ' <br /> io/�o/��,i�, i � :;e <br /> ISSUEd 8y HLJ-��- - _--HUS.:Y.LANCE J. . _ . ... . � � �- �-_� - � ' _ � �---- <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued vurxo�s <br /> Fund �o� Account s Program FuncGon Actiwty <br /> PrOgram U�347J 6 3 <br /> T�tle CONVERT 751NCH 1528 WETMORE AVE UT�4i3-6J <br /> Work Order No 20152050 Project Actiwty Type COFRECTIVE AIAWTENANCE Status c� <br /> Status Q�iarzois Time �sza OriginalWO Bdhrg <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> Stale Zip <br /> Subdivision Chanae Map Y!N <br /> Phone No l i - Ext <br /> Second Phone ( � - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 15P8 Sireet yyETMOREA✓E <br /> From Cross Streel <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OfHER <br /> Requested By Date Requested <br /> Agency Related Requesi <br /> Indiated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Pnonty Estimated Hours <br /> Crew <br /> Contraclor - <br /> Assigned To � ' "•. ''! ':- )'� « ` <br /> Ass�gned By <br /> Assigned Dale To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Roule Roule Sequence <br /> Comments <br /> Action Taken CONVERT ]S INCN CURBSIOP TO.751NCH S[TTER WITH METEP. 4N0�OX.FLAT TO METLR <br /> PROGRAM. <br /> Recommended Action <br /> ,4pproved By EAL ERICKSON,ANDRE1h'L Jcb Cost In(ormation(Y!N) <br /> Start Date i � Time Date Cornp!e,ed sn��zo�s Permd No <br /> Completed By Time Faliow lip� <br />