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Work Activity Work Order P�g� � <br /> . .—_ . _ —_ _ . — <br /> -- - � _ 30/20/2015 13:45 <br /> . __ . __ —_ —_ —_ __ _. . _. . __—._ _ _— . <br /> ISSUed BY HLJ HUSBY,LANCE J. <br /> Issued Department aw �UBLIC WORKS <br /> Dale Issued 9I1613075 <br /> Fund ao� Account s Program Function Actwity <br /> Program uraa�a s � <br /> TItlC' CONVERT 751NCN 1708 WETMURE AVE U7J473-6-J <br /> Work Order No 20152062 Pf0)2Cf ACtivity Type CURRECTIVE MAINTENANCE S(BtUS CL <br /> Siatus 9ii5rzois Time oa i� Original WO 881ing <br /> Customcr Info�mation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No � 1 - Ext <br /> Second �hone � � • Ext --- —__ _ <br /> E-Ma�, .ddress <br /> Problem Infortnation -- -- ---- -- <br /> Address 1708 Street yyElMUREAVE <br /> From Cross SVeet <br /> To Cross Street <br /> City Lp <br /> Subdwis�on Map Book tdap Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OrHER <br /> Requested By <br /> Agency Date Requested <br /> Initiated From Related Request <br /> Utdity Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Pnon <br /> Crew ry Eslimated Hours <br /> Contractor <br /> Assigned To <br /> Assigned By - ; .'..y '.d J ; ' 'i : � <br /> Assigned Date To [3e Comp Dale - " " <br /> Scheduled Dale _ Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP TO.751NCH SFTTER WITH METER AND BOX.FLqT TO METER <br /> PROGRAM. <br /> Recommended Action <br /> Approved 5y EAL [RICKSON ANDREW L Job Cost Information(Y/N) <br /> Start Date i i Time Date Completed 9rnizo�5 Permit No <br /> Completed 8y Time Fol ow Up� <br />