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Work Activity Work Order Pa9e 1 <br /> e�ze��ois s:�i <br /> ISSUEd By WOL WEAVER,OEAN L. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued e�srza�5 <br /> Fund ao� Account s Program Function Activity <br /> Program uTaa�a e a <br /> Title CONVFRT 75 INCH 1022 ROCKEFELLER AVE UT3473�6-3 <br /> Work Order No z��s��49 PfOf2CI Activity Type CORRECTIVE MAINTENANCE SfaiUS CL <br /> Status ar5izo+5 Time �sae _ Original WO _i____ Billing___ _ <br /> Customcr In(ormation <br /> Cuslomer Name Customer ld <br /> Addres:: Street <br />�i; Apartment No City <br /> Stale ZiP <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( 1 - Exl ---�--"---- —.— <br /> E-Mail Flddress <br /> Problem Information <br /> Address �ppy Street ROCKEFELLERAVE <br /> From Cross Street <br /> To Cross Slreet <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Retated Request <br /> Inifiated From <br /> Utillty Locate (USA) No Celled Date Expiration Date <br /> Assignment Iniormation <br /> Dept Pcority Estimalcd Hours <br /> Crew <br /> Contractor <br /> �ssigned To <br /> Assigned f3y <br /> Assigned Dale _ . __, To Be Comp Dale ,��;-. ry <br /> ;l��C�l_ � �_. �s, <br /> Scheduled Date Scheduled Time y���-' "'- • <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT .75INCH CURBSTOP T0.751NCH SETTER M[i[R AND DOX. FLAT TO METER <br /> PROGRAM. <br /> Recommended Action <br /> Approved Dy n�� ARCHAMf3E�ULT. JOFIN J Job Cost Informallon(Y/N) <br /> Slart Date � � Time Dale Completed e�a�2o�s Permit No <br /> Completed By Time f-ollow Up� <br />