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� <br /> Work Activity Work Order �a9e 1 <br /> 9/16�2015 14:22 <br /> Issued By wo� WEAVER,DEA�i L. <br /> Issued Department aw PUOLIC WORKS <br /> Date Issued enz�zots <br /> Fund <o� Account 5 Program Function Activity <br /> Program uraa�s s a <br /> TIll2 CONV[RT 751NCH 2115 WETMORE AVE UT3473-6J <br /> Work Order No 2��5�84� PfOf0C1 Activity Type CORRECTNEMAINTENANCE $IBIUS CL <br /> Status enziaoie Time �s sa Original WO _ ___ Billing___ _ _ _ ___ <br /> Customer In/ormation <br /> C.istomer Name Cusfomer ld <br /> �ddress Street <br /> Apartmenl No C�ty <br /> State ziP <br /> Subdivision Change Map Y/N <br /> Phone No ( l • Ext <br /> Second Phone ( ) - �xi <br /> E-MailAddress _ ___ <br /> Problem Information <br /> Address Z��S Street yyETMOREAVE <br /> From Cross Street <br /> To Cross Slreet <br /> Gty Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> R=quesled �y Cate Requested <br /> Agency Related Request <br /> initiated From <br /> Utility Locate (USA) No Called Date [xpiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contraclor <br /> Assigned 70 <br /> �ssigned Eiy <br /> Assigned Date __ _ _ _ lb Be Comp Date �„j_'";,, ) •��. �" '� , �.�, <br /> :. ,_ �;'ii �_ j..���i,;. <br /> Scheduled Dale Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONV' iT.751NCki CURI3STOP T0.751NCH SETiER MET[R AND BOX.FLAT TO METER <br /> PROGkAM. <br /> Recommended Action <br /> Approved By n�� ARCNAMBEl�ULI,JOiIN J Job Cost In(ormation(YIN) <br /> - --- ---- <br /> Slart Date i � l ime Dale Compleled enelzots Permit No_ <br /> Compleled f3y Time Follow Up? <br />