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Work Activity Work Order �°c�' <br /> io/z,/zois �;: s�; <br /> _. ---- - ----- - - <br /> L:SU@d By HU HUSBY,LANCEJ. <br /> IS:�ued Department vw PUBLIC WORKS <br /> Date Issued 9122/2015 <br /> Fuid ao� Account s Program Function Activiry <br /> Program UT347J 6 3 <br /> Tdl2 CONVERT 75 INCH 2O20 W[TMOR[AVE UT3473�6�3 <br /> Work Order No ZQ�52�9� PfOJ2Ct Actrv�ty Type COPRECTIVE MAINTENANCE $fBIUS CL <br /> S�atus 9122R015 Time ia ae Original WO Billing <br /> Customer Information <br /> Cusfomer Name Cus[omer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivsion Change Map Y/N <br /> Phone No 1 1 - Ext <br /> Second Phone t ) • Exl <br /> E-Mail Address <br /> Problem Information <br /> Address ypyp Street WETMORE AVE <br /> From Crosa Strect <br /> To Cross Street <br /> City Zip <br /> Subdrvision Mao 800k Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utiliry Locate (USA) No Called Date Expiration Oale <br /> Assignment Information <br /> Dept Prionry [stimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date _ To Be Comp Date , . , � ' <br /> Scheduled Date Scheduled Time <br /> Roule Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP TO.751NCH SETTER WI'H METER AND BOX, FLAT TO METER <br /> PROGRAM. <br /> Recommended Action <br /> Approved By EAL ERICKSON,ANDREW L Job Cost In(ormation(Y!N) <br /> Start Date i i Time Date Completed 912117015 Permit No <br /> Compieled By Time Follow Up� <br />