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Work Activity V1'ork Order <br />ISSU@d By HLJ HUSBY, LAYCE J. <br />Issued Department Pw PUBIiC WORKS <br />Date Issued tzneizo�s <br />Fund aai Accounts Program <br />Program UT3473 9 7 <br />Title CONVERT 75 INCH 1110 35iH $T UT3473-9�3 <br />Function <br />Page 1 <br />z!z/zoi6 e:ao <br />Ac6vity <br />Work Order No 20152713 f fOfOCI Activity Type CORRECTNE MAINTENANCE <br />Status ___ _ �znenots Time �a ai Original WO __ ___ _ _ Billing _ <br />Customer Information <br />Custemer Name <br />Address <br />Apartment No <br />State <br />Subdwision <br />Phone No ( ) - <br />Second Phone ( ) - <br />E-Matl Address <br />Problem Information <br />Address �q�p <br />From Cross Street <br />To Cross Slreet <br />City <br />Subdivision <br />Problem WATER <br />Sub Problem OTHER <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />P,ssignment Information <br />Dept <br />Crew <br />Contraclor <br />Assigned To <br />Assigned By <br />Street <br />City <br />Zip <br />E�t <br />[xt <br />Street 35TH ST <br />WATER <br />OTHER <br />Map Book <br />Called Date <br />Customer ld <br />Zip <br />Change Map YiN <br />Map Reference <br />Expiration Dale <br />Cate Requested <br />Related Req�Pst <br />Priority Estimated Hours <br />Ass�gned Date ____., ___ To Be Comp Date <br />Scheduled Date Scheduled Time <br />Route Roule Sequence <br />COfi1fI1Cf115 INV[NTORY MATERIAL IN THE AMOUNT OF,5464.25 WAS JOURNALIZED <br />IN 2015 <br />Action 7aken CONVERT .75 INCH CURBSTOP TO .75 INCH SETTER WITH METER AND BOX. FLAT TO METER <br />PROGRAM. <br />r�ecommended Action <br />Status c� <br />Approved By wo� wenveR, oenN � • Job Cost Intormation(Y/N) <br />----- _ _ ------ <br />Start Date � � Time Date Completed �znznot5 Permit No <br />