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;�:; <br /> _.. ,; <br /> � <br /> Work ,4ctivity Work Order pd5e 1 <br /> z/io/zoi6 �: :oo <br /> ISSUBd By HLJ HUSBY, LANCE J. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 1 212 91201 5 <br /> Fund yo� Accounl s Program Function Activity <br /> PfO9fal7'1 UT347J 9 3 <br /> Tllle CONVERT 75 INCH 1a11 36TH ST UT3477�9�3 <br /> Work Order No 20152806 Pro�ect Activdy Type CORRECTIVE fdAINTEIJANCE SialUS CL <br /> Status 7 2/2 912 01 5 Time �z_9 Original WO _ B�Ilmg <br /> Customer Information <br /> Customer Name Custom.:r ld ' <br /> Address Street <br /> Apartment No City <br /> State Z�p <br /> Subdrvision Change Map Y/N <br /> Phone No � 1 - Ext <br /> Second Phone � ) - Ext —" -- - --- -- — <br /> E-Mail Address <br /> Problem Information <br /> Address �q�� Street 36TNST <br /> From Cross Sireet ' ` <br /> To Cross Street �i� '�°'�`�=� - <br /> City Zip �� �,.; ._,-- �� <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 /> Inihated From <br /> Util�ly Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Pnonty E56maled Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By `�"" "' ; r- �r <br /> �;1. (' . <br /> Assigned Date __ __ To Be Comp Date �' I�r':�t���h_,�{�j�:��� <br /> , . <br /> Scheduled Date Scheduled Time � <br /> Route Roule Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSTOP TO .75 INCH SETTER WITH METER AND BOX. FLAT TO METER <br /> PROGRAM. <br /> Recommended Action • <br /> Approved By wo� WEAVER, DEAN L JOb COSI I(1fOffTl2hOf1(Y/N) <br /> Start Date � i Time Date Compieted i2nonois _ Permrt No __ _ <br /> • Completed By • Time Follow Up? ' <br /> _- . ,,.^- �_-�-•-� , ..,...,� . , ., . , r^.....-r�� . _. _ ,.. .�. . . ?;1�''� • . <br />