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Work Activity Work Order �a9� 1 <br /> �/;/zois s:oe <br /> ISStlOd By WDL WEAVER,DEAN L. <br /> Issued Department rw PUBLIC WORKS <br /> Datelssued anono�s <br /> Fund aot Account s Program Function Activity <br /> Program uraa�a e s <br /> TIU@ CONVERT J51NCH 2O08 ROCKEFELLER AVE UT 3473-6J <br /> \Nork Order No 2��5��90 Project Activity Type CORRECTIVE MAINTENANCE SL91US CL <br /> Status aitor2o�s Time �oas Original WO _ Billing _ _ _ _ _ <br /> Customcr Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No Ciry <br /> Stale Z�P <br /> Subdivision G�iange Map YIN <br /> Phone No ( 1 • Er.! <br /> Second Phone ( ) • Ext — - <br /> E-Mail Address <br /> Problem Information <br /> Address 2008 Street ROCKEFELLER A VE <br /> From Cross Street <br /> To Cross Street <br /> Cdy Zip <br /> Subdivision Map E3ook Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utiliry Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimaled Hours <br /> Crew <br /> Coniraclor <br /> Assigned To <br /> Assigned By �)• <br /> AssignedDate _- - ToBeCompDate `• � _-:':;ti,);,-';] :L ;�:�tG!W <br /> Scheduled Date Scheduled Time _ _ <br /> Route Roule Sequence <br /> Comments <br /> Action Taken CONVERT.)S INCH CUR65TOP TO.751NCH SETTER METER�ND BOX.FLAT TO METER <br /> PROGRAM. <br /> Recommended Action <br /> �pproved By en� EnicKsoN,nNOREsw� Job Cost Information(Y1N) <br /> Start Date i � Time Dale Completed ei�vzo�s Permit No _ <br /> Completed By Time Follow Up7 <br />