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Work Activity Work Order �a3° 1 <br /> i0!9/;O1•i :5 :�5 <br /> ISSU�d By SJT2 SPOONER,JAMES T. ' <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued en2i2oia <br /> Fund ao� Account s Program Funcbon Actiwty <br /> Program ut3an e � <br /> TdIE CONVERT ]5 INCH 1617 ROCKEFELLER AVE UT3473�6-3 <br /> WOfk OfdGf NO 2��42�6� PfOJ2C1 Activity Type CORRECTIVE IdAINTENANCE SfBtUS Cl <br /> Status anz�zoia Time n zi Original WO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No Gty <br /> State <�P <br /> Subdivision Change Map Y/N <br /> Phone No f ) - Ext <br /> Secrnd Phone ( ) • Exl --- ---- <br /> E-Mail Address <br /> Problem Information <br /> Address �6�� Street ROCKcFELLER AVE <br /> From Cross Sireet <br /> To Cross Slreet <br /> ary z�p <br /> Subdivision Nlap Book Map Reference <br /> Problem WA1'ER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Dale Requested <br /> Agency Retated Request <br /> Initialed From <br /> Utility Locate (USA) No Called Dale Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contrar,,or <br /> Assigned To <br /> Assigned By <br /> Assigned Dale _ _ To Be Comp Date _ <br /> Sch��+��Iedn�te ScheduledTime ___ _ i`�±E,�,e.; G�g r <br /> . f1v' I�.;���tl C '�u�F_' i�� <br /> Route Route Sequence : <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP TO.751NCH SETTER WITH METER AND BOX.FLAT TO h1ETER <br /> PROJECT. <br /> Recommended Action <br /> Approved By wo� wFAVER,�enN� Job Cost Information(Y/N) <br /> Start Date i � Time Date Completed enoizo�a Permit No <br /> Completed By Time Follow Up7 <br />