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W'ork Activity Work Order <br />Issued By HLJ HUSBY, LANCE J. <br />Issued Department Pw PUBLIC WORNS <br />Date Issued vsno�e <br />Fund ao� ,>ccount s Program <br />Program UT3477 5 a <br />Title CONV[RT 751NCH 7725 WETMORE AVE UT3473-9-� <br />Work Order No 20160188 Project <br />Stalus vv2oi5 Time os2o Ongmal WO <br />Page 1 <br />2/12/�O1G 10::5 <br />Function AcUvity <br />Activity Type CORRECTIV[ IdAWTEY�NCE <br />- —Billing — -_—. <br />Customcr Information <br />Customer Name Customer ld <br />Address Street <br />Apartment No ���Y <br />State Z�P <br />Subdiwsion Change Map Y/N <br />Phone No � 1 • Ext <br />Second Phone ( ) � Ext -- --- <br />E-Mail Address <br />Problem Informatio� <br />Address 37Zg Street pyETMORE AVE <br />From Cross Street <br />To Cross Street <br />City Z�P <br />Subd��. ,ion Map Book Map Reference <br />Problem WATER WArER <br />Sub Problem OTHER OTHER <br />Status CL <br />Requested By Date Requested <br />Agency Related Request <br />Indiated From <br />UUhty Locate (USA) No Called Cate Expiration Date <br />Assignment Information <br />Depl Priority E56mated Hours <br />Crew <br />Contractor <br />Assigned To <br />Assigned fiy <br />Assigned Date __ To Be Comp Dale _ <br />�1�': r. ,. r i+, <br />�'�✓i . <br />Scheduled Date Scheduled Time _ _ }'! �� {�� ( ' <br />Route Route Sequence � . ���' ��� <br />Comments • <br />Action Taken CONVERT .i51NCH CURBSTOP i0.751NCH SETTER WI1H METER AND BOx. FLAT TO METER <br />PROGRAM <br />Recommended Aclion <br />Approved By WDL WEAVER. DEAN L .lOb COSI Itl(OfR18hOf1(Y/N) _ <br />Slart Date i r Time Dale Completed �naizo�e Perm�t No <br />Completed By Time Follow Up� <br />