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Work Activity Work Order � •-°° � <br /> ��;:::�: ,:: ,., , <br /> ISSl1Cd By HW HUSBV,LANCE J. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 9122/2015 <br /> Fund ao� Account s Program FuncUoa Activity <br /> Program U73473 s a <br /> T�tle CONVERT 75 1NCH 2O16 8 W[TMORE AVE UT3473•6�7 <br /> Work Order No 20152089 Pro�ect Activ ry Type coaRecrive r.+�wTeN�Nce Status c� <br /> Status 9rz.^rzoi5 Time +aa5 Origmal WO bdling <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subd�wsion Change Map Y/N <br /> Phone No i � • Ext <br /> Second Phone i ) - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 2016B Sireet yyETMORE AVE <br /> From Cross Street <br /> 1 o Cross Street <br /> City Zip <br /> Subdivision Map Book hlap Reference <br /> Problem L!�ATER WATER <br /> Sub Problen OTHtR OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Indiated From <br /> Uldity�ocate (U:A) No Called Date Expuation Date <br /> Assignment Information <br /> Dept Pnor�ty [stimated Hours <br /> Crew <br /> Conlractor <br /> Assigned To <br /> Assigned By � � <br /> Assigned Dale To Be Comp Date �.�.'c .R% `.'�:' � _ .'.''� ; ; <br /> Scheduled Date Scheduled Time <br /> Route Roule Sequence <br /> Comme�ts <br /> Action Taken CONVERT.75INCH CURBSTOP TO.751NCH SETTER WI7N METER AN�BOX. FLAT TO METER <br /> PROGRAM. <br /> Recommended Action <br /> Approved By EAL LRICNSON.ANDREW L Job Cost In(ormaUon(Y/N) <br /> Start Date � i Time Date Completed ensno�s Permd No <br /> Campleted By Time Follow Up� <br />