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Work Activity Work Ord�r �ag� 1 <br /> �-' __ _'________ 9/3/2015 B:JO <br /> _.---. _—__ .___—__ . __— <br /> ISSUBd By WOL WEAVER,DEAN L. <br /> Issued Departmentaw PUBLICWORKS <br /> Date Issued enonois <br /> Fund 40� Account 5 Program Funclion Activity <br /> Program ur3a�a 6 3 <br /> TIflB CONVERT.751NCH1916ROCKEFELLERAVEUT3473-6-3 <br /> Work Order No 20151785 Project Activiry Type CORRECTIVE MAINTENANCE Sf2t115 CL <br /> Status 8/t012015 Time io ie Original W0 Billing <br /> Customer Intormation <br /> Customer Name Customer ld <br /> Address Streel <br /> Apartment No City <br /> State Zip <br /> Subdivision Change h9ap Y/N <br /> Phone No ( ) - Ext <br /> Second Phone f ) - Ext ---- -- — --__ <br /> E-Mail Address <br /> Problem information — --- -- -- <br /> Address lg�g Street ROCKEFELLERAVE <br /> From Cross Street <br /> To Cross Sireet <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Dale Requested <br /> Agency Relaled Request <br /> Initiated From <br /> Utiliry Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Pnority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By `..��'+':, �'+,?�i��);,"fi�. �•`!�� ���,'i <br /> Assigned Date __ To Be Comp Date � �-� i - <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP TO.75 INCH SET7ER METER AND DOX.FLA'f TO METER <br /> PROGRAM. <br /> Recommended Action <br /> Approved By EA� EaiCKsoN,nNnRew�. Job Cost Information(YIN) <br /> Start Date _ � _i Time __ __ Date Completed env2ots Permil No <br /> Completed By Time Follow Up? <br />