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Work Activity Work Order ' � ��� � <br /> .^!:.;i2:`_� :� . 4'1 <br /> ISSUEd By HLJ—_�.�_ �_ NUSBY.LANCE J. __ _--. ___'— _ _—__._ _ _ _—__—_— _ ___ <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 9/16i2015 <br /> Fund �oi Account s Program Function Actmry <br /> Program uTaa�a c � <br /> T�tle CONVERT i51NCH1i02WETR70REAVEUT3<i3•6�3 <br /> Work Order No 20152060 Pro�ect Actiwty Type ccR�ecrive r.�FwTeNnNce Status c� <br /> Status 9neraois Time oeo_ Original WO Bill�ng <br /> Customer Information <br /> (,usromer Name Customer ld <br /> Address Street <br /> Apartment No Ciry <br /> State Zip <br /> Subdivision Chang= Map YIN <br /> Phone No � 1 - Ext <br /> Second Phone � ) - Ext <br /> E-Mail Address <br /> _ _ _ _ - - <br /> Problem Iniormation <br /> Address 170P Street yyETMOREAVE <br /> From Cross Street <br /> To Cross Street <br /> ary z�p <br /> Subdiwsion �,1ap Book tilap Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Requesi <br /> Inillated From <br /> UUI�ty Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Pnonty [st�mated Hours <br /> Crew <br /> Contraclor <br /> Assigned To <br /> Assigned By , . ' (:' . � + ,. „ <br /> F�ssigned Dale _ To Be Comp Date - �- '` '" <br /> Scheduled Date _ _ Scheduled Time <br /> Roule Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP TO]S INCH SETTER WITM METER AND BOX. FLAT TO ME7LF <br /> PROGRAM. <br /> Recommended Action <br /> Approved By Eq� eaicKsoN,nNoaEw� Job Cost Information(Y/N) <br /> . --- — -- — <br /> Start Dale i i Time Dale Completed snnaais Permlt No <br /> Cempleted By Time Follow Up7 <br />