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� <br /> Work Activity Work Order `_'" ' <br /> :oi��, :�:is . . :•;e <br /> _ <br /> — ----- _ -- --- <br /> ISSUBd By WDL WEAVER,DEAN L. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued enizo�s <br /> Fund aot Account s Program FuncGon Actiwty <br /> Program U7347� G J <br /> TIiIE CONVERT 75 UJCH 1615 6TH ST UT3473�fi-.l <br /> Work Order No z��5�958 PfOJECI ACUviry Type CORRECTIVE MAINT[NANCE S(d(US CL <br /> Status vvzc�s Time ie '_a Original V�10 Billing <br /> Customer Information <br /> Customer Name Custome� :d <br /> Address Street <br /> Apartment No Ci�y <br /> State Zip <br /> Subdivision Change ��lap YIN <br /> Phone Nu i - Ext <br /> Second Phone ( � • Ext — — - <br /> E-Mail Address <br /> -- ___ _ _ -- <br /> Problem Information <br /> Address 1815 Street 6TH Sr <br /> From Cross Street <br /> To Cross Straet <br /> City Zip <br /> Subd�vision Map Bocf: Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Req��ested Sy Date Requested <br /> Agency Related Request <br /> Initialed From <br /> UtiGty Locate (USA) No Called Dale Expiration Date <br /> Assigr�:nent Iniormation <br /> Dept Pnority Es�imated Hours <br /> Crew <br /> Conlractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date __ To Be Comp Date <br /> y r , - <br /> Scheduled Date Scheduled Time � ,' ..-' �' � <br /> . a.. '1 �. <br /> Rou1e Rout? Sequence <br /> Comments <br /> Action Taken CONVERT]S INCH CURBSTOP TO .751NCH SETTER METER ANO 90X. FLAT TO METER <br /> PROGRAM. <br /> Recommended Action <br /> Approved By EAL ERICKSON,ANDREW L Job Cost information(Y/N) <br /> Start Date � i Time Dat�� Completed 9ieno�5_ Permit No_ <br /> Completed By Time Follow Up? <br />