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Wark Activ�ity Work Order ` `` ' <br />� .� ..:�, .. . <br />ISSU2tl By' MLJ HUS�Y, LANCE J. <br />ISSUE� Department Pw PUBLIC WORKS <br />Date Issued 1I9/2016 <br />Fund ao� Account 5 Program FuncLon Ad�v t� <br />Program una�� 9 3 <br />TIIIB CONVERT S INCH 3810 W[7IdOR[ AVE UT347Y93 <br />Work O�der No 20160178 Pro�ect Achvdy Type coas�cnve rnNwrer�nNCe Status c� <br />Status ^�e,ac�a T�me o's� Ongmal WO __ _ B�;'��np <br />Ci�stomer Information <br />Custo,rer Name Customer ld <br />Address Street <br />Apartment No Gty <br />State Z�P <br />Subdiv�s�on Ctange Map Y!N <br />Phone No � � • Ext <br />Second Phoce � � - Ezl <br />E-Ma�l Address <br />Problem Intormation <br />Address 3810 Street yyETMORE AVE <br />From Cross Street <br />To Cress Street <br />City ziP <br />Subdivi5ion Map �ooY. ��1�;� Reference <br />Problem WA7ER WATER <br />Sub Problem OTHER 07NER <br />Requesled By Da;e Reques;ed <br />Agency , Related Rec.�est <br />Inibated From <br />Utihry Locate (USA) No Called Date Expiralion Date <br />Assignment Information <br />Depl Pnonly Es;imated Hours <br />Crew <br />Contractor <br />Ass�gned To <br />Assigned Dy ; i�i;� �f';-��n' i'� i� �� <br />Assigned Dale _..__ To ae Comp Date _ j(!F f o(�� <br />Schedu!ed Dat� Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken �ONVERT.S INCH CURBSTOP T0.751NCH SETTER WITH h1ETER AND BOX. FLAT TO METER <br />PROGRAM. <br />Recommended Action <br />Approved By wo� WenveR. oenN � Job Cost Information(Y/N) <br />Start Date + � Time Dale Completed v�vzo�e _ __ Permit No _ <br />Completed 6y Time Folto�v Up� <br />