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Work Activity Work Order <br />ISSUBd By HLJ HUS9Y, LANCE J. <br />Issued DepartmentPw PU9LICWORKS <br />Date Issued tonm�ot5 <br />Fund ao� Accounl s Program <br />Program ur3a�a s a <br />TIIIE CONVERT 751NCH 2919 NASSAU ST UT3473-9-3 <br />Work Order No 20152384 Project <br />Status 'a�3orzo�s Tlme i3oe Origi�alWO _ <br />Func6on <br />��cj� 1 <br />��i�zi�o:�; �,�.�� <br />Activity <br />Act�v�ry Type CORFECTNE tdAINT[NANCE St2IUS Cl <br />Bdling _ <br />Customer Iniormation <br />Customer Name Customer ld <br />Address Street <br />Apartment No City <br />Stata Zip <br />Subdiwsicn Change Map Y/N <br />Phone No ( ) • Ext <br />Second Phone ( 1 • Ext <br />E-Maii Address <br />Problem Information <br />Address yg�g Street NASSAU ST <br />From Cross Sireet <br />To Cross Street <br />City Zip <br />Subdivision A9ap Book Map Re(erence <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By Date Requested <br />Agency Related Requcst <br />Initiated From <br />Utiliry Locate (USA) No Called Date Expiralion Date <br />Assignment Information <br />Dept Pnority Estimated Hours <br />Cre�v <br />Coniraclor <br />Assigned To <br />• ---. <br />Assigned By . ; _.; �.i';.J i' �I :; :�`';<: ,� <br />Assigned Date __. To Be Comp Dale ' <br />Scheduled Date Scheduled Time __ <br />Route Route Sequence <br />Commr.nts <br />Action Taken CONVERT .751NCH CURSTOP TO .751NCH SETTER WITH METER AND 80X. FLAT TO METER <br />PROGRAM. <br />Recommended Action <br />Approved By y�ro� WEAVER, DEAN L Job Cost information(Y/N) <br />Start Date i r Time __ Date Completed �tia!to�s _ Permit No __ <br />Completed By Time Fol'ow Up? <br />