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Work Activity Work Order Page � <br /> :o/zi/2o�s ia:5a <br /> ISSUEd By HLJ HUSBY,IANCE J. <br /> Issued Departmenl Pw PUBLIC WORKS <br /> Date Issued 912L2015 <br /> Fund �oi Account s Program Function Aciiv�ty <br /> Program ut�ua e a <br /> TiUe CONVERT 751NCH 2108 WET�dOR[AV[UT34736�3 <br /> Work Order No Z0�52�95 PfO�BCI Activiry Type COPRECTNE fdAINTENANCE $f8tU5 CL <br /> Status eizzizois Time �soo Original WO Billing_ <br /> Customer Information <br /> Cuslomer Name Customer ld <br /> Address Streel <br /> Apartment No C�ry <br /> State Z�P <br /> Subdivision Change Map Y!N <br /> Phone No � 1 - Exl <br /> Second Phone � � - Ext — — <br /> E-Mail Address <br /> Problem Information <br /> Address y�pg Streei yyETMOREAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WpTER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiralion Date <br /> Assignme�t Information <br /> Dept Pnority Es6mated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned Ry , . " i�'.�,i. "'' `� +i. <br /> Assigned Date To Be Comp Date <br /> Scheduled Dale Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP TO .751NCH SETTER WITH METER AND BOX. FLAT TO METER <br /> PROGRAM. <br /> Recommended Action <br /> Approved By Eq� ERICKSON,ANDRE-W L Job Cost Informalion(Y/N) <br /> Start Date i � Time Date Completed 9nsno�s Permit No <br /> Completed By Time Follow Up� <br />