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Work Activity Work Order Page 1 <br /> ia/ia�aoi� ii:s� <br /> ISSUeCI By HLJ HUSBY,LANCE J. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 11/7/2017 <br /> Fund ao� Account s Program Function Activity <br /> Program UT3473 �a s <br /> Title CONVERT.75 INCH 718 CROWN DR UT3473-14-3 <br /> WOrk Order NO 20172695 Project Activity Type CORRECTIVE MAINTENANCE Status CL <br /> Status 11/7/2017 Time o�:o� 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 �qg Street CROWN DR <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> C rew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date ______ To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> -- -__ _ <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSTOP TO.75 INCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROGRAM. <br /> Recommended Action <br /> Approved By Hs� HOLLO, SAMUAL Job Cost Information(Y/N) <br /> Start Date i i Time Date Completed 11/7/2017 Permit No <br /> ---- ______ __ _ _ - -- _ __ <br /> Completed By Time Follow Up? <br />