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Work Activity Work Order Pa9e 1 <br /> 5/17/2019 15:39 <br /> Issued By HLJ HUSBY,LANCE J. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued ane�zota <br /> Fund ao� Accounts Program T�o Function tte Activity s�s <br /> Progrem <br /> Tlll@ CONVERT.751NCH 3907 SMITH AVE 7101196i5 <br /> WOfk O�d2f NO 20140887 PfOJ2Ct AC11VItY TypO CORRECTIVE MAINTENANCE SfBtUS CL <br /> Status ansrzoia Time �soe Original W0 Billing _ _ __ __ <br /> Customer 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 ( ) • Ext <br /> Second Phone ( 1 • Ext ----- <br /> E-Mail Address <br /> Problem Information <br /> Address 3gp7 Street SMITH AVE <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contracior <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Dale <br /> Scheduled Dale Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURB STOP TO A.75 INCH SETTER,METER,AND BOX.CUST.RE�UEST <br /> Recomm:nded Action <br /> Approved By wo� w�+vet:.�F1+N�. Job Cost Information(YIN) <br /> Start Date i � Time Date Completed ansizo�a _____ Permit No <br /> Compleled 6y Time Follaw Up?_ _ __ __ <br />