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lNork activity Work Order � ���� � <br /> :nj:�.�;'<..:5 :s, to <br /> -- --- --- - - � - - -- - ---- - �- ---- <br /> ISSU2d BY HI.J HUSBV,LANCE J. <br /> Issued Departmentpw PUBLICWORKS <br /> Date Issued 9/2712015 <br /> Fund ao� Account s Program FuncUon Actrvdy <br /> Program una�a s a <br /> TIfIE CONVERT 751NCH 18J2 WET,`dORE AVE UT3573-6-3 <br /> Wark Order No 1��52�a0 Pf0j2C1 Actiwry Type CORRECTWE t�IAMT[NANCE $18I11S CL <br /> Status __ aizuzois Time oe zi Original WO Billing <br /> Customer Iniorrtiation <br /> Cusromer Name Cus!omer ld <br /> Address Street <br /> Apartment No Ciry <br /> State Zip <br /> Subdivision Change Map YIN <br /> Phone No 1 � - Ext <br /> Second Phone ( i - Exi - — — <br /> E-Mail Address <br /> Problem Information <br /> _ _ - <br /> Address �g�2 Street yyETMORE AVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision �dap Book ��4ap Reference <br /> Prcblem WATER WATER <br /> Sub Problem OTHER 07'HER <br /> Requested By Dale Requested <br /> Agency Related Request <br /> Indiated From <br /> Uhh(y Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Prionty Eshmated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned BY � �1 ' ,;. ; ,;j; . .,, ., . <br /> Assigned Date _ To Be Comp Date ' • • � � ` • � <br /> Scheduled Dale Scheduled Time <br /> Route Route Sequence <br /> Comme�ts <br /> Action Taken CONVERT.751NCH CURBSTOP TO 751NCH SETTER WITH METER AND BOX. FLATTO METER <br /> PROGRAM. <br /> Recommended Action <br /> hpproved 6y en� ERICKSON,ANDREW L Job Cost Information(Y/N) <br /> Start Date � � Time Date Completed yrzvzois Permit No <br /> Completed By Time Follaw Up? <br />