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Work Activity Work Order eage ' <br /> 7/31/2014 8:44 <br /> ISSU2d By HLJ HUSBY, LANCE J. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued nnzo�a <br /> Fund eo� Account 5 Program Function Activity <br /> Program UT1473 < a <br /> Tlfl@ CONVERT JS INCH 316 SKYLINE DR UT3473-0-3 <br /> Work Order No Z��42042 PfOjECI Activity T�oe CORRECTIVE MAINTENANCE SlBIUS CL <br /> StaWs nvzo�a Time u az Original WO ___ Billing <br /> Customer Infortnatio� <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No Ciry <br /> State ZiP <br /> Subdivision Change Map Y/N <br /> Phone No l 1 - Ext <br /> Second Phone ( ) • Exl -- <br /> E-Mail Address <br /> Problem Information <br /> Address 3�6 Street SKYLINE OR <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Dale Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Iniortnation <br /> Dept Priority Estimated liours <br /> Crew <br /> Contrador <br /> Assigned To <br /> AssignedBy , „ ..�. �•. ;.:,-� r ��� � <br /> Assfgned Date _ To Be Comp Dale __ � - - -'����'����-' �,� 'li �! ,�.,�;:' � .� <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP T0.751NCH SETTER WITH METER AND BOX. FLAT TO METER <br /> PROJECT <br /> Recommended Action <br /> Approved By pe� FISHER,L'O��Y L :ob Cost information(YIN) <br /> Start Date � r Time Date Completed �iv2o�a Permil No__ <br /> Completed By Time Follow Up� <br />