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Work Activity Work Order Pa�e 1 <br /> 0�14,��13 8:44 <br /> ISSUBG BY HLJ HUSBY,LANCE J. � <br /> Issued Department rw PUBLIC WORKS <br /> Date Issued nyzo�a <br /> Fund qot Account 5 Program Function Activiry <br /> Progrem uraan a 3 <br /> Title CONVERT.i51NCH 328 SKYLINE DR UT3479�-3 <br /> WOfk Ofd2f ND Z0�42�� PfOJ2Ct Activiry Type CORRECTIVE MAINTENANCE St2►US CL <br /> Status n2rzo�a 7ime �s:aa Original WO Billing _ __ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( > • Ext <br /> Second Phone t ) - Ext — "-- <br /> E-Mail Address <br /> Probtem Infortnation <br /> Address 3P8 Street SKYLlNE DR <br /> From Cross Street <br /> To Crass Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTNER OTHER <br /> Requested By Date Requested <br /> Agency Reiated Request <br /> Initiated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By !��I�i 4".. ( rp ri� r.��� - <br /> �l'-a 1 :t>f7� �6 U �b;_�iv> . „ <br /> Assigned Date To Be Como Date E� <br /> Scheduled Date Scheduled Time <br /> Route Roule Sequence <br /> Camments <br /> Action Taken CONVERT.751NCH CURBSTOP T0.751NCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT <br /> Recommended Action <br /> Approved By HW HUSBY,LANCE J JOb COSI Itt(OfR10ti0f1(Y/N) <br /> Start Date � i Time Date Completed 7reizo�a__ _ _ _ Permit No <br /> Completed By Time Follow Up7 <br />