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Work Activity Vllork Order pa9e 1 <br /> 8/28/2015 8:2A <br /> ISSUed By WDL WEAVER,DEAN L. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued eisizo�s <br /> Fund aot Account s Program Function Activiry <br /> Program UT347J 6 3 <br /> TIllO CONVERT 751NCH 1711 17TH 5T UT3473-6-3 <br /> Work Order No 20151752 Project Activity Type CORRLCTIVE MAINTENANCE Sf8Il1S CL <br /> Stalus 8/5/2015 Time �559 Original WO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Streel <br /> Apartment No Ciry <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( l • E�R <br /> Second Phone ( 1 - Ext - -- - - -- - <br /> E-Mail Address <br /> Problem Information <br /> Address 171� Street ��TH ST <br /> From Grass Street <br /> To Cross Streel <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WA)'ER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initialed From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignmeni In(ormation <br /> Depl Priority Estimated Hours <br /> Crew <br /> Conlractor <br /> Assigned To <br /> Assigned E3y ,II <br /> Assigned Date ___ To Be Comp Date _ <br /> -- -- - i,i�A(.�:;;>,j =..;1;; ' iL, ;;;� ": '=: <br /> Scheduled Date Scheduled Time ' ' <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT 751NCH CURBSTOP TO.751NCH SETTER METER AND BO%. FLAT TO METER �I <br /> PROGRAM. Y <br /> R <br /> Recommended Action ! <br /> Approved By AJJ ARCfIAMBEAULT,JOHN J. JOb COSI IflfOffil2hOf1(Y/N� <br /> Start Date � i Time Date Completed e�enots Permic No <br /> - ------ --- - <br /> Completed By Tir�ie Follow Up� <br /> I <br />