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Work Activity Work Order t>age � <br /> 9/3/2015 9:04 <br /> ISSl12d By WDL WEAVER,DEAN L. <br /> Issued Departmentaw PUBLIC WORKS <br /> Date Issued aisr�ots <br /> Fund eot Account s Program Function Activity <br /> Program UTJ473 6 3 <br /> TIll2 CONVERT.75 INCH 1108 ROCKEFELLER AHE UT3473-63' <br /> Work Order No 2��5��58 Pf0)2Ci Activity Type CORR[CTIVF M/�INTENANCE $�aIUS CL <br /> Status aisrzo�s Timeiea� OriginaiWO __Billing ____ _ _ _ <br /> Customer Iniormation <br /> Cusromer Name Customer ld <br /> Address Street <br /> �partmenl No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 - Ext <br /> Second Phone l ) - Ext - - <br /> [-Mail Address <br /> Problem InFormation <br /> Address ��pg Street ROCKEFELLERAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Intliated From <br /> Utilily Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Prioriry Estimated Hours <br /> Crew <br /> Contraclor <br /> �ssigned To <br /> nssigned By To Be Com Date �>:1 S';�Lr, (+ J' � �i�'„�. � �r <br /> Assigned Date ____ P ---- 1 �. ..� �i.� 'e''; <br /> Scheduled Dale Scheduled Time <br /> Route Route Sequence <br /> Commcnts <br /> Action Taken CONVERT.75 INCH CURBSTOP TO.75 INCH SETTER METER AND BOX.FLAT TO ME7ER <br /> PROGRAM. <br /> Recommended Action <br /> �pproved By EAl ERICKSON,/1NDRf:W L JOb COSI 10(OfR18flOt1(Y/N) <br /> Start Dale � � Time Dale Completed ertoiiots__ _ Permit No <br /> _ _ - - -- -- <br /> Completed By Time Follow Up7 <br />