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Work Activity Work Order <br />— _. -_ _ _ _ <br />(SSUed BY HLJ HUSBY, LANCE J. <br />Issued DepartmentPw PUBLIC WORKS <br />Date Issued tiz4no�a <br />f?ind aoi Account 5 Program <br />i�rogram UT3473 4 3 <br />TIfIA CONVERT .751NCH 2372 79TH ST UT3473-4-3 <br />�unction <br />?aae - <br />4�3��0�4 a:�� <br />Activity <br />Work Order No 20140496 PfOJ2CI Activity Type CORRcCTIVE MAINTENANCE <br />Status zrzanoin Time o�:ss Original WO_ _ Biiling_ __ ____ _______ <br />Customcr Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phore No � � - <br />Second Phone ( > - <br />E-Mail Address <br />Pro�lem Information <br />Address 239p <br />From Cross Street <br />To Cross Street <br />Ciry <br />Subdivision <br />Street <br />Ciry <br />Zip <br />Ext <br />Ext <br />Street 19TH ST <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Iniormation <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date _ <br />Scheduled Date __ _ <br />Route <br />C�rnments <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Seq�ence <br />Customer ld <br />Zip <br />Priority <br />Change Map Yltd <br />Map Reference <br />Date Requested <br />Related Request <br />E:cpiration Date <br />Estimated Hours <br />9i# p :: :y'! :i,�' � 1� �.. :�'1 '�= yt <br />Action Taken CONVERT .75 INCH Cl1RBSTOP TO .75 INCH SETTER WITH METER AND BOX. FLAT TO METER <br />PROJECT. <br />Recommended Action <br />Status c� <br />Approved By HLJ HUSBY, LANCE J. JOl7 COSf Itl(�ffll2�lOf1(YIN� <br />— ------ Permit No <br />Start Date � I Time Date Completed anv2oia _ ____. <br />_-------- <br />- _ <br />CompletedQy Time FollowUp <br />