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Work Activity Work Order Page � <br /> e/z�/zois io:as <br /> ISSUed BY HLJ HUSBY,LANCE J <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued namzois <br /> Fund aot Account s Program Function Aclivity <br /> Program uraa�a 6 3 <br /> TillB CONVERT ]5 WChI 18D5 ROCKEF[LLER AVE UT3473-6-3 <br /> WOfk �fde�NO 20151703 PfOJECt Activiry Type CORR[CTIVE h4AINTENANCE SlBIUS CL <br /> Stalus �iaono�s Time iz:zo _ OriginalWO_ ____ Billing <br /> Customer Iniormation <br /> Customer Name Customer ld <br /> Address Street <br /> Apanment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No l ) - Ext <br /> Second Phone ( ) - Ext — — ----- - — — <br /> E-Mail Address <br /> Problem Information <br /> Address 1805 Sireel ROC.KEFELLER AVE <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 /> Requesled By Date Requesled <br /> Agency Related Request <br /> Indiated From <br /> Utility Locate (USA) No Called Date f_xpiration Date <br /> Assignment Information <br /> Dept Prionty Cslimated Hours <br /> Crew <br /> Contracbr <br /> �ssigned To <br /> Assigned By 1�'�C, _ <br /> Assigned Dale To Be Comp Date �„ y <br /> — �'�J� <br /> Scheduled Date Scheduled Time ��!��"�� �� <br /> Rouie Route Sequence <br /> Comments <br /> Action Taken CONVERT .751NCH CURBSTOf'T0.75 INCH SETTFR WITI{ M1��TER AND DOX.FLAT TO METER <br /> PROGRAM. <br /> Rer.ommended Action <br /> Approved �y ��� ARCHAM�3l-AUl.T,JOHN J JOb COSI IIt(OffTlBliOf1(Y/N) <br /> Start Date � i Time Date Completed 8/4I2015 Permd No <br /> Completed By Timc Follov� Up� <br />