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Wor� Activity Viiork Order �age 1 <br /> v/4/2013 '_3:19 <br /> ISSU2d By HW kUSBY,LANCE J. <br /> Issued Departmentaw PUBLICWORKS <br /> Date Issued am2aia <br /> Fund ao� Account s Program Function Activity <br /> Program UT3479 z s <br /> TItIB CONVERT.75 INCH 3776 24TH ST UT3473-2-3 <br /> Work Order No 2013060E PfOJeCI Activity Type CORRECTIVE MAINTENANCE Sf8fl1S CL <br /> Status 3/7I2013 Time oo::fo Original WO Billing <br /> Customer Infonnation <br /> CustomerName Customer ld <br /> Address Street � <br /> Apartment No City <br /> State ��P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) • Ext <br /> Second Phane ( ) • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 3716 Street Z4TH ST <br /> Fram Crass 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 3y 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 /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Raute Sequenc2 <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSTOP TO.75 INCH SETTER WI METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ HUSBY, LANCE J. JOb COS� IflfOffil2�lOf1(Y/N� <br /> Start Date � � Time Date Completed a�anaia Permit No <br /> Completed By Time Follow Up? <br />