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Work Activity Work Order <br />ISSUBd By MLNE MOORE, WARREN E. <br />Issued DepartmentPw PUOLICWORKS <br />Date issued 412212013 <br />Fund aa� Account 5 Program <br />Program UT3473 3 3 <br />TIfl2 CONVERT .751NCH 3G02 19TH ST UT3473-3-3 <br />Work Order No ?.0130827 Project <br />Sta[us anz�2o�a Time is:4a Original WO _ <br />Customer Information <br />Customer Name <br />Address <br />ApartmentNo <br />State <br />Subdivisian <br />Phane No � � <br />Second Phone ( � <br />E-Mail Address <br />Problem Information <br />Address 3002 <br />From Cross Street <br />To Cross St�eet <br />c�r� <br />Subdivision <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street �gTHST <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date __ <br />Scheduled Date <br />Route <br />Camments <br />Activity Type <br />Map Book <br />Called Date <br />l'o Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Function <br />Customer ld <br />� <br />Priority <br />?aqe 1 <br />6/c/2013 13:47 <br />ACfIVIry <br />CORRECTIVE MAINTENANCE SfafUS CL <br />Change Map Y/N <br />Map Reference <br />Date Requested <br />Reiated Request <br />Expiration Date <br />Estimated Hours <br />Action Taken CONVERT .75 INCH CURBSTOP TO .75 INCH SETTER WI METER AND BOX. FLFT TO METER <br />PROJECT. <br />Recommended Action <br />Approved By Fa� FisHeR, eoesv �. Job Cost Information(YIN) <br />Start Date � � Time __ Date Completed sieno�a _ Permit No <br />Completed By Time Follow Up % <br />