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Work Activity Work Order <br />__ .—__. __— _.__--_." _ -- -__ _ _"_'__ <br />ISSUBd BY WDL WEAVER, DEAN L. <br />Issued DepaAmentPw PUBLICWORKS <br />Date Issued 9�vzou <br />Fund ao� Accounts Program <br />Program ur3a7a s a <br />Title CONVERT 75 INCH 626 WLTMORE AVE UT3C�3�6�3 <br />Work Order No 20151963 Project <br />Slatus 9RI2015 Time is3e OriginalWO <br />P.lae . <br />10/14/20ii 1•i:•i5 <br />Func6on Activity <br />AcGvity Type CORRECTIVE MAINTENANCE SfBIUS CL <br />—_ - Billing — <br />Customer Information <br />Customer Name Customer ld <br />Address Street <br />Apartment No Ciry <br />State Zip <br />Subdivision Change Map YIN <br />Phone No l 1• Ext <br />Second Phane � 1 • Ext --- - <br />E-Mail Address <br />Prob�em Information <br />Address 6P5 Street yyETMDREAVE <br />From Cross Street <br />To Cross Street <br />City Zip <br />Subdrvision Map Book Map Reference <br />Problem WATER WATER <br />Sub Probiem OTHER OTHER <br />Requested By Date Requested <br />Agency Related Request <br />Initiated From <br />Utdity Locate (USA) No Called Date Expiration Dale <br />Assignment Information <br />Dept Prionty Eslimated Hours <br />Crew <br />Conlracror <br />Assigned To <br />Assigned By <br />Assigned Date _ To Be Comp Date <br />Scheduled Date Scheduled Time • . . �i :� �%;�;; ; ' ;; •; � <br />Route Roule S: wence <br />Comments <br />Action Taken CONVERT .751NCH CUR05TOP TO .75 INCH SETTER M[TER AND 80X. FLAT TO METER <br />PROGRAM. <br />Recommended Action <br />Approved By �,� ERICKSON, ANOREW L JOb COSI Ifl(OffOBU0f1(Y/N� <br />Start Date � � Time Date Completed 91812015 Permit No <br />-- — --- — <br />Completed By Time Follow Up7 <br />