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Work Activity Work Qrder ' "° ' <br /> ��,;.� ;�z��s .a :s� <br /> -- _ - --- - --- _- — <br /> ISSUEd BY � HLJ HUSBY,LANCE J. <br /> Issued Deparlmen[rw PUBLICWORI(S <br /> Date Issued 9izvzo�s <br /> Fund aot Account 5 Program Funcfion AcUvity <br /> Program ur�e» 6 1 <br /> TI110 CONVERT i 5�NCH 2504 1h'ETtdORE AVE UT3d7J-6�3 <br /> Work Order No 20152103 PfOjCCI Activiry Type CORRECTIVE 1.1AV�TENANCE $101U5 CL <br /> Status 9rzvzoi5 Time �sz� OriginalWO _ __ __ Bi•fing _ <br /> Customer Infortnation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�p <br /> Subd�vision Change Map Y/N <br /> Phone No � � • Ext <br /> Second Phone ! i • Ext — - <br /> E-Mad Address <br /> Problem Information <br /> Address 2504 Street WETMOREAVE <br /> From Cross Street <br /> To Cross Sireet <br /> City Zip <br /> Subdwision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Probtem OTHER OTHER <br /> Requesled By Date Requested <br /> Agency Relaled Request <br /> Irntiated From <br /> Ubldy Locate(USA) No Called Date Expiration Date <br /> Assignment Intormation <br /> Dept Prwnty Estimafed Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned �y <br /> Assigned Date To �e Comp Datc <br /> Schedu�ed Date Scheduled Time .+`_ ;, ni :: ''' ' � <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSTOP TO.75 INCH SETTER WITH METER AND BOx.FLAT TO METER <br /> raocRnM. <br /> Recamm¢nded Action <br /> Approved By EAL [RICKSON,IINDREW L Job Cost Informalion(YM) <br /> Start Date � � Time Date Completed 5nsnot5 _ _ _ Permit No _ <br /> Completed By Time Follow Up� <br />