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Work Activity Work Order `''�` ' <br /> ,ale/:o:n ��:i9 <br /> — - ---- - — - -- ---- - —— -- -- <br /> ISSt1Cd RY SJT2 SPOONER,JAMES T. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued erz�no�a <br /> Fund ao� Account 5 Program Function Activity <br /> Program uraar 6 3 <br /> Tiile CONV[RT J51NCH 1618 ROCKEFELLER AVE UT3d73-6-3 <br /> WO�k Ofde� NO 2d142796 PfOJ2CI Ac[ivity Type CORRECTIVE MAINTENANCE $221US CL <br /> Status s2;rzo�a Time osa� Original WO Billing _ __ <br /> Customcr Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map 1' P! <br /> Phone No ( 1 - Ext <br /> Secand Phone � 1 • Ext ----- <br /> E-�viaii Address <br /> Problem Information <br /> Adaress �gig Street ROCKEFELLERAVE <br /> From Cross Street <br /> To Cross Street <br /> City ZiP <br /> Subdivision h4ap f3ook Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Felated Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignrnent Information <br /> Dept Priority �stimated Hours <br /> Cre�v <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Dale _ _ To Be Comp Da,c <br /> Scheduled Date Scheduled Time I - ' I�� �� ;• e'` I "� ���' <br /> Roule Route Sequence <br /> - - - ��'��?�t �'� !�' d'��..��?!4':U.. <br /> Comments <br /> Actior, Taken CONVERT.751NCH CURBSTOP TQ]S INCH SETTER WITH KETER ANO BOX.FLAT TO METER <br /> PROJECT. <br /> Recummended Action <br /> Approved By w0� W�VER Di:AN L Job Cost Informahon(Y/N) <br /> Slart Date i � Time Dale Comp!eted yn�no�a __ ?ermit No _ <br /> - -- - — <br /> Completed Hy Time Fallow Up� <br />