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Wor6c Activity Work Order `"a`��� � <br /> �/::.'2ci� . . <br /> ISSU2d By HLJ HUSB'Y, LANCE J. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued �z�avzo�s <br /> Fund aoi Account 5 Program Function Acbvity <br /> Program UT3473 9 3 <br /> TIflO CONVERT 751NCH 1505 36TH ST UT3473�9-3 <br /> Work Order No Z��5Z6�3 Pf0�2CI Activity Type CORR[CTIVE ��1AINTGNANCE Sl2fU5 CL <br /> Status 'zrz��zo,�� Time �2ai Original WO _ Billing __ _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No C�ty <br /> State Z'P <br /> Subdivision Change Map 1"IN <br /> ?hone No l ) - Ext <br /> Second Phone � � - Ext - <br /> E-Mad Address __ <br /> Problem Information <br /> Address 1506 Street 36TH ST <br /> From Cross Street <br /> To Cross Slreet <br /> City Zip <br /> Subdivisron Map Bcok Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Reques�e:; By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> UUhty Locate (USA) Ne Called Date ExpiraUon Date <br /> Assignment Infoimation <br /> Dept Prionty Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By ;'r a;.- -- <br /> To F�e Com Date _ r� !;(�; ••/: n �n�. .. ,;i, <br /> Assigned Date _. __. ._ P - E . �w� �J3 �'a ,i,..,. f. <br /> Scheduled Date Scheduled Time __ <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSTOP TO.75 INCH SETTER WITH METER AND 80X. FLAT TO METER <br /> PROGRAM. <br /> Recommended Action <br /> Ap4roved By WDL WEAVER.DEAN L JOb COSI If1fOfR1dtI0f1(Y/N) <br /> Start Date i i Time _ _ Date Completed vaiza�e Permrt No _ <br /> Completed By Time Follow Up? <br />