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Page 1 <br /> Work Activity Work Order _ e„A,,ol, a:s� <br /> ISSUed By HLJ HUSBY,L.ANCE J. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued 7iaor�ots Pro ram Function Aclivity <br /> Fund aot Account s 9 <br /> Program ur�a�a e � <br /> Tiile CONVERT S INCH 1107 ROCKEFEILER AVE UT]473-6-3 <br /> 20151714 f fOfECI Activity Type CORRFCTNE MAWTENANCE $l2iUS CL <br /> Worh Order No Billing __. _ ------ <br /> Status �iao�zoi5 Time iz:so Original WO -- <br /> Customer Information Cuslomer ld <br /> Customer Name <br /> Address Street <br /> Apartment No City <br /> State Z�p Change Map YIN <br /> Subdivision Ext -- <br /> Phone No � � " — <br /> Second Phone l � - Ext <br /> E-Mail Address --— — <br /> Problem Information gtreet <br /> Address 1107 ROCKEFELLER AVE <br /> From Cross Slreet <br /> To Cross Street ZiP <br /> City Map Book Map Reference <br /> Subdivision <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER Date Requested <br /> Requested By Related Request <br /> Agency <br /> Indialed From Called Dale Expiration Date <br /> Utihty Locate (USA) No <br /> Assignment Information Pnordy Es6mated Nours <br /> Dept <br /> Crew <br /> Contractor <br /> �ssigned To <br /> Assigned By To Be Comp Dale _ ;�a ;;'�;����' 1,,, `!W .� <br /> Assigned Date __ "- � a `� ',' <br /> Scheduled Date . _ __ _ Scheduled Time <br /> Roule Route Sey�ence <br /> Comments <br /> F�clion Taken CONVERT .5 INCH CURBSTOP TO.75 INCfI SETTC-R WITH MFTER AND OOX.FLAT TO METER <br /> pROGRAM. <br /> Recommended Action <br /> Job Costinformation(Y/N) <br /> Approved By EAL ERICKSON,ANDREW L --- {��fRlll NO <br /> Slart Dale i i Time _ ____ Date Completed eisim�s ____ <br /> = Time Follow Up� <br /> Completed By <br />