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Work Activity Work Order r�°� ' <br />�on,�z�:s �,:;� <br />- - - -- -- --- - — -- <br />ISSU2d BY WDL WEAVER, DEAN L. <br />Issued Department aw PUBLIC WORKS <br />Date Issued 9n�zo�s <br />Fund ao� Accounts Program <br />Program uraa�a e a <br />Title CONVERT 751NCH 528 bYETh10RE AVE UT3477-6�3 <br />Work Order No 20151957 Pra�ect <br />Status 9n�zo�5 Time �e3s OnginalWO <br />Functian Activity <br />Actw�ry Type CORR[CTIVE h1AINTENANCE StdIUS CL <br />Billing <br />Customer Iniormation <br />Customer Name Customer ld <br />Address Street <br />Apartment No Ciry <br />Stale Zip <br />Subdiwsion Chang= Map YIN <br />Phone No i 1- Ext <br />Second Phone , � - Ext — – <br />E-Mail A�dress <br />Problem Information <br />Address Syg Street yyETMOREAVE <br />From Cross Slreet <br />To Cross Street <br />Gty Zip <br />Subdiwsion Map Book Map Reference <br />Problem WATER WATER <br />Sub Problem OTHER OrHER <br />Requesled By Date Requested <br />Agency Related Request <br />IniUated From <br />UUlity Locate (USF�) No Called Date Exp�ration Dale <br />Assignment Information <br />Dept Pnority Eshmated Hours <br />Crew <br />CoMractor <br />Assigned To <br />Assigned By <br />Assigned Date To 6e Comp Date , ;� j .;_ `.�I' <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken CONVERT .751NCH CURBSTOP TO .751NCH SETTER METER AND BOX. FLAT 70 METER <br />PROGRAM. <br />Recommended Action <br />Approved By EqL ERICKSON, ANDREW L <br />Start Date i � Time <br />Compleled By <br />Job Cost Informa�ion(YM) <br />Date Completed s�tizo�s Permd No __ <br />Time Follow Up� <br />