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Work Activity VVork Order �''�� ` <br /> slzc/zois ic:�e <br /> ISSlled By HLJ HUSBY,LANCE J. <br /> Issued Department aw PUBLIC WORKS <br /> Datelssued anono�s <br /> Fund qo� Account s Program Function Activity <br /> Program UT7473 5 � <br /> TIfl2 CONVERT.75 INCH 1608 10TH ST UT3473•5-3 <br /> WOfk Qfd2f NO 20151004 P(OJBCf Activiry Type CORRECTIVE MAINTENANCE S(BtUS CL <br /> Status aizonou Time t5oz Original WO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No Ciry <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( l - Ext <br /> Second Phone 1 ) - Ext — <br /> E-Mail Address <br /> Pro6lem Information <br /> Address �608 Street �OTH ST <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Probiem OTHER OTHER <br /> Requested By Date Reyuested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No C�ilcd Date Expiration Date <br /> Assignment i�formation <br /> Dept Priority Estimated Hour, <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Dale <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURB STOP TO.75 INCH SETTER WITH METER AN�BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ HUSBY, LANCE J. JOb COSI IflfOffT12f10(i(Y/N) <br /> Start Date i � Time Date Completed 4122/2015 Permit No <br /> Completed By Time Follow Up� <br />