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Work Activity Work Order �a" i <br /> B/14/2014 8:42 <br /> ISSUEd By HLJ HUSBY,IANCE J. <br /> Issued DepaRmentPw PUBLICWORKS <br /> Date Issued ��vzo�a <br /> Fund eot Account s Program Function Activiry <br /> Program UT3173 4 3 <br /> Title CONVERT.751NCH 323 SKYLINE DR UT3473-4-J <br /> Work Order No ZD�4Z046 PfOjl'Cl P.ctivity 1'ype CORREC7IVE MAINTENANCE $18f115 CL <br /> Status____ �2rzo�a Time tsae_ Original_WO _ Billing <br /> Customcr Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 - Ext <br /> Second Phone � � - Ext - -- <br /> E-Mail Address <br /> Problem Infortnation <br /> Address 3Y3 Street SKVLINE DR <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 �y Date Requested <br /> Agency Relaled Requesl <br /> Initiated From <br /> Utility Locate(USA) No Called Date Expiralion Date <br /> Assignment Infortnalion <br /> Depl Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date _ ;;ui�, t;;., , .� � y,��,�N, <br /> -- �•�-� .�S.��ra �B'� ���.i=,..° <br /> Schetluled Date ScheduleC Time <br /> ?^ute Route Sequence <br /> Comments <br /> Action Taken CONVERT.i51NCH CURBSTOP T0.751NCH SETTER WITH METER AND BOX. FLAT TO METER <br /> PROJECT <br /> Recommended Action <br /> Approved By HLJ HUS�Y, LANCE J JOb COSI If1IOffT18110f1(Y/N? <br /> Start Date � � Time Date Completed �isizota Permit No <br /> Completed By Time Follaw Up7 <br />