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Work Activity Work Order `'a9e 1 <br /> 8,.8�Z�IS �:�, <br /> ISSUCd 8y WDL WEAVER,OEAN�. <br /> Issued DepartmentPw PUBLICWORNS <br /> Date Issued eisizots <br /> Fund ao� Account s Program Function Activity <br /> Program uTaa�a 6 3 <br /> TIIIE CONV[RT 75 INCH 1028 ROCKEFELLER AVE UT3473-6-3 <br /> Work Order Vo 10151753 Project Activity Type CORR[CTNE h1AINTENANCE S10IU5 CL <br /> Status eisrzois Time i6:o3 Original WO _ __ Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No Cily <br /> Slate Z�P <br /> Subd�vision Change Map Y/N <br /> Phone No f ) - Ext <br /> Second Phone l ) • Ext -- — <br /> E-Mail Address <br /> Problem Information <br /> Address 1028 Street ROCKEFELLER AVE <br /> From Cross Slreel <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Prohlem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested �y Date Requesled <br /> Agency Related Request <br /> Inihaled From <br /> Utitiry Locate (USA) No Called Date Expiration Date <br /> Assignment Iniormation <br /> Dept Pnority Estimated liours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned fiy <br /> Assigned Date __ To E3e Comp Dale ,y {�pr� p <br /> i^'�1�;��,i l+9�d�f �_,� 0�� �;, <br /> Scheduled Dale Scheduled Time �•. .- <br /> Roule Route Sequence <br /> Comments <br /> Action Taken CpNV[RT]S INCH CURDSTOP TO JS INCH SGTT[R MC-TER AND BOX. FLAT TO METER <br /> PROGRAM. <br /> Recommended Action <br /> Approved f3y AJJ l�RCHAMBEAULT JOHN J Job Cost Inlormation(Y/N) <br /> Start Date i � Tim� Date Completed e�eiza�s _ Permit No _ <br /> Compleled Dy Tlme Follow Up? <br />