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Work Activity Work Order pa�r <br />_,.��co:c ;i:i�, <br />ISSU2d BY HLJ HUS�Y, LANCE J. <br />Issued Department Pw PUBLfC WORKS <br />Date Issued 11912016 <br />Fund aot Accounts Program <br />Program UT3A7J 9 3 <br />TIII2 CONVERT 5 WCN 3iC6 WEThSORE AVE UT3473�9�3 <br />Work Order No 20160174 Project <br />Status _+i9�20i5 Time o� a3 _Original WO_ __ _ <br />Function AcGvdy <br />Act�vity Type CORRECTIVE IJAIN ([NAIJCE $12I115 CL <br />BilGng_ __ _ <br />Customer Information <br />Customer Name Customer ld <br />Address Street <br />Aparment No City <br />State Z�P <br />Subdivision Change Map Y/N <br />Phone No l 7- Ext <br />Second Phone ( 1 • Exl -- <br />E-Mail Address <br />_ - - <br />Problem Iniormation <br />Address 3706 Street yyETMORE AVE <br />From Cross Street <br />To Cross Street <br />City Zip <br />Subdivision Map Book �v1ap Reference <br />Problem WATER WATER <br />Sub Probiem OTHER OrHER <br />Requested By Dale Requested <br />Agency Related Request <br />Ind�ated From <br />Utdlty Locate (USA) No Galled Date Expiration Date <br />Assignment In(ormatio� <br />Dept Prionty Eslimated Hours <br />Cre�v <br />Con�ractor <br />Assigned To <br />Assigned By ' <br />Assigned Date _. _. __ To Be Comp Dale _ _ r� � <br />ii.l�.;'.. � <br />Scheduled Date Scheduled T�me _ _ _ _ _ '�'�'^'�C�1 �'9 � <br />Route - - Raute Sequence ' �'����~'� <br />Comments <br />Action Taken �ONVERT .5 INCH CURBSTOP TO .75 INCI1 SETTER WITH METER ANO BOX. FLAT TO METER <br />PROGRAM. <br />Recommended Action <br />Approved By wo� wenvEa, oenN � Job Cost Information(Y/N) <br />Start Date . i i Time Date Completed vizizo�e ___ __ Permit No __ <br />--- - — — <br />Completed By Time Follo�� Up� <br />