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Work Activity Work Order ` �-° = <br /> :�„ _:� . �_� <br /> - _ _ _ - - <br /> ISSU2d BY HLJ HUSBY,LANCE J. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 911 612 01 5 <br /> Fund aot Account 5 Program Funcbo� Activiry <br /> Program una�a 6 3 <br /> TiIlO CONVERT 751NCH 1808 WETM1IORE AVE UTJ477-G-3 <br /> WOfk OfdBf NO 20152069 PfOJECI AC11VI�!TYpE CORR[CTIVE MAINTENANCE SI8W5 CL <br /> StaWs_ 9nerzo�5 Time ne 3� Original WO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apariment No Ciry <br /> S�ale Zip <br /> Subdiv�s�on Chance Map Y/N <br /> Phone No f � - Ext <br /> Second Phone � i � Ext <br /> E•Mail Address <br /> Problem Information <br /> Address 1808 Street yyETMORE AVE <br /> From Cross Street <br /> To Cross Street <br /> Gty Zip <br /> Subdivision Map Book tvtap Relerence <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Inmated From <br /> Utility Locate(USA) No Called Date Exp�rahon Date <br /> Assignment In(ormation <br /> Dept Prionty Estimated Hours <br /> Crew <br /> Contractor <br /> �ssigned To <br /> Assigned By .i . :.; ::.;.; i.�,� ,j., ':'•I� : <br /> Assigned Date To De Gomp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP T0.751NCH SETTER WIT;{METER AND BOX. FLAi TO METER <br /> PROGRAM. <br /> Recom�nended Action <br /> Approved By EAl ERICKSON.ANDREW L JOb COSI I�(OfR13f10�(Y/N) <br /> Start Dale i � Tirne Date Completed snvzo�s Permd No <br /> - -- ----- - <br /> Completed By rime Follow Up7 <br />