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Work Activity Work Order Pa9� ' <br /> B/28/2015 9:OE <br /> ISSULd BY HLJ HUSBY,IANCE J. <br /> Issued Department pw PUBIIC WORKS <br /> Date Issued naonois <br /> Fund aot Accounl s Program Funclion Activlry <br /> Program UT347J 6 3 <br /> TIII2 CONVERT 75 INCH 1403 ROCKEF[LLGR AVE UT3473-63 <br /> WD�k O�def NO z��5��09 Project Activity Type CORRFCTIVE MAINTENANC[ Sl8IU5 CL <br /> Status �iaor2oi5 Time �2 s9 Origlnal WO Billing _ __ <br /> Customcr In(ormation <br /> Customer Name Customer ld <br /> Address Slreet <br /> Apartment No ���Y <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 - Ext <br /> Second Phone 1 ) • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 1403 �treel ROCKEFELLERAVE <br /> From Cross Street <br /> To Cross Street <br /> CiIV Z�P <br /> Subdwlsion Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested E3y Date Requested <br /> Agency Related Request <br /> Indialed From <br /> Ulilily Locate (USA) No Calted Date Expiralion Date <br /> Assignment Informat�on <br /> Dept Pnority Fstimaled Ilours <br /> Crew <br /> Contractor <br /> Assigned To <br /> �ssigned By <br /> Assigned Date _ To Be Comp Dale i`���;:-. <br /> ' `'�'C�� 1 « <br /> Scheduled Date Scheduled Time '�- !��c F'�; <br /> Route Route Sequence <br /> Commcnts <br /> Action Taken CONVERT .75 V�CH CURUSTOP TO JS INCH SETTFR WITH M[TER AND HOX FLAT TO MFTER <br /> PROGR�M. <br /> Recommended Action <br /> Approved f3y AJJ l�RCH�M�EAULT,.IOFINJ Job Cost Information(Y/N) <br /> Start Dale � � Time Date Completed ew�zots r ermit No <br /> Completed By Time Follow Up� <br />