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Work Activity Work Order �'�°�� ' <br /> tn/zo;zcts ,�:ns <br /> - - — — — - - <br /> ISSU2d BY HLJ HUSBY,LANC[J. <br /> Issued Department rw PUBLIC WORKS <br /> Date Issued 911 612 0 1 5 <br /> Fund aa� Account s Program FuncUon Achwty <br /> Program ur�en s a <br /> Title CONV[RT 751NCH 1706 W[TMORE AVE UT347J-6-3 <br /> WOfk Ofd2f NO ?O�SYOFI'I PfOJCCt Activiry Type COHRECTIVE MAINTENANCE SI8lU5 CL <br /> Status 9nerzoi5 Time oeo5 Cn�gina�WO _ ___ _ _ Billing <br /> C��stomer Information <br /> 1;�;;;.^_� Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdrvision Chang? Map YIN <br /> Phone No ( 1 - Ext <br /> Second Phone � � • Ext — <br /> E-Mail Addre�s <br /> Problem Iniormation <br /> Address »06 Streel WETMOREAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision A1ap Book �.9ap Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requesled By Date Requested <br /> Agency Reiated Request <br /> Indiated From <br /> Uttl�ty Locate(USA) No Called Date Expiration Date <br /> Assignment In(ormation <br /> Dept Pnonty Eshmated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date . To Be Comp Date <br /> Scheduled Date Scheduled Time � �� ` ' `-�l: '� ':._ '':_;��� <br /> Roule Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCfi CURBSTOP TO.751NCH SETT[R WITH METER AND BOX.FLAT TO METER <br /> PROGRAM. <br /> Recommended Action <br /> Approved By Eq� GRICKSON,ANDREW L Job Cc st Information(Y/N) <br /> Start Date i r Time Date Completed sn��aots Permit No <br /> Completed By Time Follow Up� <br />