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Work Activity Work Order `'a°° ' <br /> 1n/21/:G1; 7, :5G <br /> - _. ' -- _"'__" _ _ '_ ' _ _ . _.. .__._. <br /> ISSUCd By HLJ HUSBY,LANCE J. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued snvzo�s <br /> Fund so� Account s Program Function Actmty <br /> Program urae�a 6 3 <br /> Tltle GONVERT 751NCH 2Ot6 WETh10RE Av[UT3a73-6-J <br /> Work Order No ZQ�52�9� PfOJECI Activiry Type CORR[CTIVE IdAINTENANCE $I2WS CL <br /> Status 5izzrzoi5 Timetaa� OriginalWO Billing <br /> Customer Information <br /> Cusloner Name Customer ld <br /> Addres�� Streel <br /> Apartmenl No Ciry <br /> State Z�p <br /> Subdhnsion Change Map Y/N <br /> Phone No � 1 - Ext <br /> Secon�� Phone ( � - Ext —--- <br /> E-Mad Address <br /> Problem Iniermation <br /> Address y016 Street yyETMORE AVE <br /> From Cross Street <br /> To Cross Street <br /> Clty Zip <br /> Subdivision Map Book A1ap Re(erence <br /> Prcblem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requesled <br /> Agency Related Requesl <br /> Inihated From <br />( Utility Locale(USA) No Called Date Expiration Date <br /> Assignment Iniormation <br /> Dept Prionty Estimated Hours <br /> Crew <br /> Conlractor <br /> Assigned To <br /> Assigned E3y �� '' . , .. � '� " �i_ '��;�!�;� �t: <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT 351NCH CURBSTOP T0.751NCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROGRAM. <br /> Recommended Action <br /> Approved By ea� eaicKsoN nNORew� Job Cost In(ormation(Y/N) <br /> Start Date i � Time Date Completed 9iz3��o�s ____ Permil No__ _ _ <br /> Cumpieted By Time Follow Up� <br />