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Work Activity Work Order Page � <br /> 8/28/2015 9:03 <br /> ISSUE?d By HLJ HUSBY,LANCE J. <br /> Issued Departmentaw PUBLICWORKS <br /> Date Issued 7I30/7015 <br /> Fund aot Account s F�ogram Function Activiry <br /> PfO9f2f1'1 UT3473 6 3 <br /> T1�I@ CONVERT.75 INCH 1810 1ATH ST UT3473-63 <br /> Work Order No 20151710 Project Activity Type CORRECTIVE MAINTENANCE Status c� <br /> Status �i3onoi5 Time iz:a� Original WO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( ) - Ext — -- — - <br /> E-Mail Address <br /> Problem Information <br /> Address �g�p Street �4TH ST <br /> From Cross Street <br /> To Cross Slreet <br /> ciry z;p <br /> Subdivision Map Book Map ReFerer�ce <br /> Problem WATER VVATER <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 /> Assignment In(ormation <br /> Dept Priority Estimsted Hours <br /> Crew <br /> Conlraclor <br /> Assigned To <br /> Assigned By c �. •_ • <br /> Assigned Date _ To Be Comp Date - �' i<�'�i��r ` J��;''����_„i'a;�;� <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSTOP TO.75 INCH SEITER WITN METER AND BOX.FLAT TO METER <br /> PROGRAM. <br /> Recommended Action <br /> Approved By AJJ ARCFIAMREAULT, JOHN J JOb COSf If1�Off118110f1(Y/N) <br /> _. .__ . .--__._ _.___. ._ ..____.. _ . _ _- __ <br /> Start Date i i Time Date Completed eiarzo�s Permil No <br /> - _ - -- - -- - -- — __ <br /> Completed By Time Follow Up? <br />