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Work Activity Work Order ��9` ' <br /> 9�3�zois e :s, <br /> ISSUed By WDL WEAVER,DEAN 1.. <br /> Issued Departmentaw PUBLICWORKS <br /> Date Issued e�sizo�s <br /> Fund qot Account 5 Program Function Activity <br /> Program uraa�a 6 3 <br /> TIIIQ CONVERT 75 INCH 1710 ROCKEFELLER AVE UT3473-63 <br /> Work Order No 2��5�766 PfOfEC1 Activity Type CORRECTIVE MAINTENANCE $18W5 GL <br /> Status 816I2015 Time �s.�s Original WO Billing _ _ <br /> Customer Iniormation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No Ciry <br /> State Zip <br /> Subdivision Change Map YIN <br /> Phone No ( ) - Ext <br /> Second Phone ( I • Ext -- — <br /> E-Mail Address <br /> Problem Information <br /> �ddress 17�p Sireet 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 /> Initiated From <br /> Utiliry Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Depl Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> 4ssigned By ;;;��l ;•��:; <br /> Nssigned Date _ __ _ To Be Comp Date _ � ��•:>t� ?;�);;:s i��� ••.,• �.y <br /> �__. ;��I _ _ <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP T0.751NCH SETTER METER AND BOX.FLAT TO METER <br /> PROGRAM. <br /> Recommended Action <br /> Approved By EAl [RICKSON,ANDREW L JOb COSf Ifl(O'fT12I10�(Y/N) <br /> Slart Dale � i Time Date Completed enona�s Permit No <br /> Completed Fiy Time Follow Up? <br />