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Work Activity Work Order Pag� 1 <br /> e/z�/zois io,s9 <br /> ISSU2d BY HLJ HUSBY,LANCE J. <br /> Issued Department Pw PUBLIC.WORKS <br /> Dale Issued n2eno�s <br /> Fund ea� Account s Program Function Activity <br /> PfO9f2fi1 UT3673 6 3 <br /> Till2 CONVERT S INCH 1919 ROCKEFELLER AVE UT3473-6-J <br /> WO�k Ofd��NO 20151686 P�OfeCf ACfiVity Ty(70 CORRECTIVe MAINTENANCE StBtUS CL <br /> Slatus �i2e�.ms Tlme �3<5 OriginalWO Billing____ __ ____ _ <br /> Customer information <br /> Custo:ner Name Cuslomer ld <br /> Address S�reet <br /> Apa tment No City <br /> Stale Z�P <br /> Subdlvision Change Map Y/N <br /> Phone No � 1 • Ext <br /> Second Phone ( 1 - Ext --- - <br /> E-Mail Address <br /> Problem I�formation <br /> Address �g�g Slreet ROCKEFELLERAVE <br /> From Cross Street <br /> To Cross Streel <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WArER <br /> Sub Prablem OTHER OTHER <br /> Requested By Date Requesled <br /> Agency Related Request <br /> Indialed From <br /> Ulility Locate (USA) No Called Date Expiration Datc <br /> Assignmc�t Inlormation <br /> Dept Priority Es6maled Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> �ssigned Date To Be Comp Dale _ <br /> Scheduled Date _ . Scheduled Time <br /> Route Roule Sequence �; .,-., , <br /> Comments <br /> �t"? ' ..�..� r? �1 �,. � ,�_' �. <br /> Action Taken CONVERi.5 INCH CURDSTOP TO.75 INCH SETT[R WITH METER AND OOX. FLAT TO MET[R <br /> PROGRAM. <br /> Recommended Action <br /> Approved [3y AJJ �RCHAMRL'AULT,JOHN.i JOb COSf I�(OfRlaliOfl(Y/N� <br /> Slart Date � r Timr-_ Date Completed nao�2o�s Permit Ivo <br /> Completed By Time Follow Up� <br />