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I <br /> I <br /> Page 1 <br /> Work Activity Work Order q�3�z013 �5:05 <br /> Issued By HLJ HUSBY,LANCE J. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 31512013 <br /> Fund aoi Account s Program Function Activity <br /> Program UT3473 z s <br /> TIflB CONVERT.75 INCH 3703 24TH ST UT34i 3-2•3 <br /> Work Order No 20130573 PfOJOC� Activity Type CORRECTIVE MAINTENANCE St2�ll5 CL <br /> Status 3/SI2013 Time ta:oe Oricinal WO ________ Billing __ _ __— <br /> Customer Information Customer ld <br /> Customer Name <br /> Address Street <br /> Apartment No City <br /> State Z�F <br /> Subdivision Change Map YIN <br /> Phone No ( ) • Ext __ __ __._— <br /> Second Phone ( ) • Ext <br /> E-Mail Address -- — <br /> ProGlem Information <br /> Address 3703 Street yqTH ST <br /> From Cress Street <br /> To Cross Street ZiP <br /> City <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated From Ex iration Date <br /> Utility Locate (USA) No Called Date P <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By To Be Comp Date <br /> Assigned Date ____ _ -- — <br /> Scheduled Date __ Scheduled Time ___ <br /> Route Route Sequence <br /> C�mments <br /> Action Taken CONVERT.75 INCH CURBSTOP TO.751NCH SETTER WI METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By RJP RAFELYEA,JASON P. JOb C051 IflfOff718110f1(YIN) <br /> Time Date Compl��d annal3 Permit No _ <br /> Start Date i_� -- <br /> Completed By Time Foilow Up? <br />