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1Nc►rk Act�vity Work Order <br />- -- — <br />ISSUBCI By �HLJ � HUSBY, LANCE J. <br />I� d De artment aw PUBLIC WORKS <br />2age '- <br />a���ze_3 �s:z9 <br />asue p • <br />Date Issued snno�s pro ram Functio� Activiry <br />Fund ao� Account e 9" <br />r�ogram UT3473 z 3 <br />Title CONVERT .5 INCH 3177 16TH ST UT3473-23 <br />Work Order No 20130617 PfOJBCt Activity Type CORRECTIVE MAINTENANCE <br />Status 3I7I2013 Time os5e Original WO _________Billing __ ______ <br />Customer Information Customer ld <br />Customer Name <br />Address Street <br />Apartment No City <br />State Z�p <br />Subdivision Change Map Y/N <br />Et <br />Phone No ( ) . x <br />Second Phone ( ) - Ext <br />E-Mail Address <br />Problem Information <br />Address 3117 Street �6TH ST <br />From Cross Street <br />To Cross Street ZiF <br />�i�Y Map Reference <br />Subdivision Map Book <br />Problem WATER WATER <br />Sub Problem OTHER OTHER Date Requested <br />Requested By Related Request <br />Agency <br />Initiated From Ex iration Date <br />Utility Locate (USA) No Called Date P <br />Assignment Information Priority Estimated Hours <br />Dept <br />Crew <br />Contractor <br />Assiyned To <br />Assigned By To Be Comp Date <br />Assigned Date _ _ <br />Scheduled Date _ _ _ _ Scheduled Time ____ _ <br />Route Route Sequence <br />Comments <br />Actioil Taken CONVERT .5 INCH C'JRBSTOP TO .751NCH SETTER WI METER AND BOX. FLAT TO METER <br />PROJECT. <br />Status c� <br />Recommended Action <br />Job Costlnformation(YIN) <br />Approved By HLJ HUSBY, UNCE J. - -- ------ <br />- Time Date Completeo 3nonais __ Permit No <br />Start Date � � <br />- -- <br />--- <br />ComplFted By Time Follow Up? <br />