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f <br /> Work Activity Work Order P�g� ' <br /> 9/10/2015 8:42 <br /> __ .-__ _-_. ____. __ '____._ _.___"'.__ _'_. __'.' <br /> ISSU2d By WDL WEAVER,DEAN L. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued envzo�s <br /> Fund aot Accounl5 Program Function Aclivity <br /> Program U7aa73 6 3 <br /> Title CONVERT.S INCH 2311 WETMORE AVE UT3473�6�3 <br /> Wark Order No 20151825 PfOfBCI Acliviry Type CORRECTIVE MAINTENANCE $I8iU5 CL <br /> StaWs envzois Time �aai Originai WO ____ _ __ Billing __ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartmenl No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No f ) - Ext <br /> Second Phone 1 1 - Ext - — ---- -- --- <br /> E-Mail Address <br /> Problem Information <br /> Address p3�q Street yyETMOREAVE <br /> From Cross Street <br /> To Cross Sireet <br /> City Zip <br /> Subdivision Map Book tvlap Reference <br /> Problem WATER WATER <br /> Sub Probiem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Inlliated From <br /> Uldity Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimaled Hours <br /> Crew <br /> Contractor <br /> i �ssigned To <br /> �ssigned E3y _ , t ;. I,� <br /> Assigred Date — -- - To Be Comp Dale - - ��Ij��,i,?'i �l)�'�� ���'j� <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONV[RT.S INCH CURBSTOP T0.751NCH SETTER METER AND BO%.FUT TO METER <br /> PROGRAM. <br /> Recommended Action <br /> Approved By ��J AItC11AMBEAULT,JOHN J Job Cost Information(Y/N) <br /> Start Dale i � Time Date Compieted enmaots Permit No <br /> Completed Oy Time Follow Up? <br />