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Work Activity Work Order ��g� ' <br /> 9�s�zois 3: io <br /> ------ -- - ------- -- ---- -- - <br /> ISSULd 8y WDL WEAVER,DEAN L. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued ei5�zo�s <br /> Fund eo� Account s Program Function Adivity <br /> Program UT3473 e 3 <br /> TIIIC CONVERT 751NCH 1102 ROCKGFELIER AVE UT347&6•3 <br /> Work Order No ZO�S�7S6 PfOJ@CI Activity Type CORRECTIV[MAINTENANCE S18lUS CL <br /> Status 8I5/7075 Time ie:zz Originai WO Billing <br /> Customer Inlormation <br /> Customer Name Custorner ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 - Ext <br /> Second Phone ( l - Ext " - —----- - - <br /> E-hlail Ad�lress <br /> Problem Information <br /> Address ��py Street ROCKEFELLERAVE <br /> From Cr�ss Street <br /> Ta Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Prublem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> IniUated From <br /> UtdiN Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priori!y Eslimaied Hows <br /> Crew <br /> Contraclor <br /> Assigned io <br /> �ssigned Dy <br /> Assigned Date _ To De Comp Dste <br /> • :, c_ ,, _ , <br /> Scheduled Dale SGieduled Time <br /> iCJ:1,��;A��'j1)y"'��� �r :y;.�lt �i;. <br /> Roule Raute Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCli ClIRDSTOP T0.75 INCH SETTER MeTER AND�OX. FLAT TO METER <br /> PROGRAM. <br /> Recommended Action <br /> Approved By EAL ERICNSON,�NDREW L Job Cost Information(Y/N) <br /> Start Date � � Time Date Completed enoizots PPrmd No <br /> Completed By Time Follow Up? <br />