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Work Activity Work Order pa9e ' <br /> ��3�zois a:ie <br /> Issued By WDL WEAVER,DEAN L. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued enoizois <br /> Fund aot Account s Program Function Activiry <br /> Program uT�a�� e � <br /> TIIIC CONVERT.75 INCH 1910 ROCKEFELLER AVE UT3473�6-3 <br /> WOlk Ofd2f r10 20151786 PfOJOCI Activity Type CORRECTIVE MAINTENANCE SlBIUS CL <br /> Status enonois Time �o.�s Original WO Billing___ __ . ___ <br /> Customer Intormation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phane No ( 1 • Ext <br /> Second Phone ( > • Ext --- <br /> E-Mail Address <br /> Problem Information <br /> Address �g�g 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 By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Pnonty Eslimated Hours <br /> Crew <br /> Contraclor <br /> Assigned To <br /> Assigned By <br /> Assi ned Date To Be Comp Date �;, , , - <br /> 9 ----- -- .1', :, �rj �� t;�3 � ,:,��I.;i,.. <br /> Scheduled Date Scheduled Time _ __ " '`"'� t`' �`� <br /> Routc Roule Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP TO.751NCN SETTER METER AND BOx.FLAT TO METER <br /> PROGRAM. <br /> Recommended Action <br /> Approved By EAL [RICKSON,ANDREW L Job Cost Information(Y/N) <br /> ._— _ . ...___ __ <br /> Starl Date i � Time Date Compteted anv2ois Permit No <br /> Completed �y Time Follow Up? <br />