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Work Activity Work Order �a°� 1 <br /> �o/e/zoia i? :z� <br /> ISSUCd By � SJT2 SPOONER,JAMES T. � <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued BI2612014 <br /> Fund ao� Account s Program FuncGon AcUwty <br /> Program ur3a�a 6 3 <br /> TIIIC CONVERT]5 INCH 1526 ROCK[FELLC-R AVE UT3473�63 <br /> Work Order No 20142791 Project Activity Type CORRECTIVE Id�INTENANC[ Sta? :s c� <br /> StaWs en5no�: Time �o ai Original WO _ _ Billing _ _ __ _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No ��ry <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) • Ext <br /> Second Phone ( 1 • Ext — -- <br /> E-Mail Address <br /> Problem In(ormation <br /> �ddress 1526 Street ROCKEFELLER AVE <br /> From Cross Sbeet <br /> Ta Cross Street <br /> Cdy Zip <br /> Subdivision Mzp Sook f�1ap kefcrence <br /> Problem WATER WATER <br /> Sub Problem OTHER 07HER <br /> Requested By Date Requesled <br /> Agency Related Requesl <br /> Initiated From <br /> UUlity Locate(USA) No Called Date Expiration Dale <br /> Assigmnent Information <br /> Dept Prionry Estimated Hours <br /> Crev+ <br /> Contractor <br /> Assigned To <br /> Ass�gned By <br /> Pssigned Date _ _ _ To Be Comp Date <br /> Scheduled Dzte Scheduled Time ____ ___ i �,,p�(a1 ;.�^ r�p <br /> f� � �d' M �..�f�f�: 7�< <br /> Roule Route Sequence <br /> Comments <br /> Action Taken CONVERT 751NCH CUR[3STOP T0 75INCH SETTER WITH METER AND BOX.FLAT TO MFTER <br /> PROJECT. <br /> Recommended Action <br /> Approved By wo� WEAVER, DGAN L Job Cost Information(Y!N) <br /> Start Date � r Time Date Completed snsno�q _ Permit No _ <br /> Completed By Time Follow Up7 <br />