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Work Activity Work Order Page 1 <br /> 9/3/2015 8:5] <br /> . ._— _ _ _._ _ — _________ _—___ _—_—'—__.___ . _—__ _—___ <br /> ISSUQd BY WDL WEAVER,DEAN l. <br /> Issued DepartmenlPw PUBLICWORKS <br /> Date Issued aisizo�s <br /> Fund aoi Account s Program Function Activity <br /> Program UT3473 6 J <br /> Till2 CONVERI .751NCH 1826 ROCKEFELLER AVE UT3473-6•3 <br /> Work Order No Z0�5�76q PfOJ@C� Activiry Type CORRECTIVE MAINTENANCE SI8fU5 CL <br /> Status e�erzots Time is:a� Original WO Billing ___ <br /> Customer Infonnatio�� <br /> Customer Name Customer ld <br /> Address Slreet <br /> Apartment No City <br /> State Z�P <br /> �ubdivision Change Map YIN <br /> P;�one No ( 1 • Ext <br /> Second Phone ( 1 - Ext -- —"-- -- <br /> E-Mail Address <br /> Problem Information <br /> Address �gp6 Street ROCKEFELLER AVE <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested E3y Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Intormation <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contraclor <br /> �ssig ned To �"'J,�',.,::t:j .�)):;��� )_ b;:�i="'�" <br /> Assigned Ry <br /> Assigned Date _ To Be Comp Date _ _ <br /> Scheduled Date Scheduled Time <br /> Roulc Roule Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSTOP TO.751NCH�ETTER METER AND BOX.FLAT TO METER <br /> PROGRAM. <br /> Recommended Action <br /> Approved By EAL ERICKSON,ANDREW L �Ob Cost Information(YIN) <br /> Slart Date ! i Time Date Completed enono�s __ _ f'ermit No _ <br /> Completed By Time Follow Up? <br />