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Work Activity Work Order F39� 1 <br /> 5���2�15 ,:5�, <br /> ISSUBd By WDL WEAVER,DEAN L. <br /> Issued Departmentaw PUBLICWORKS <br /> Date Is�ued 811 012 0 7 5 <br /> Fund aot Account s Program Function Activity <br /> Progrem uT3a�a e a <br /> TISIf? CONVERT.751NCF1 2026 ROCKEfELLER AVE UT3473-6-3 <br /> WO�k OfdBf NO z0�5�794 PfOJ@Ct Activiry Type CORR[CTIVE MNNT[NANCE SfBtUS CL <br /> Status a�iorzois_ Time_+ost Original WO__ __ _ Billing __ _ __ __ ___ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No ��ty <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( 1 - Ext <br /> Second Phone ( ) - Ext " — " <br /> E-Mail Address <br /> Problem Information <br /> Address ypy6 Street ROCKEFcLLER AVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Prablem OTHER OTHER <br /> Requested �y Date Requested <br /> Agency Related Request <br /> Initiated From <br /> U66ty Lo�ate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> C rew <br /> Conlraclor <br /> Assigned To <br /> �ssigned By <br /> Assigned Date __ __ To Be Comp Date __ . <br /> �:,ir, ',,;,;>�3'i�Lx� � L r1�-� <br /> Scheduled Dale Scheduled Time __ _ �b�r�i� <br /> Roule Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP T0.751NCH SETTER METER AND BOX.FLAT TO METER <br /> PROGRAM. <br /> Recommended Action <br /> Approved Oy EAL ERICKSON,ANDREW l JOb COSI If1�OfR18110(1(Y/N� <br /> Start Date � � Time Date Completed an�i2ois __ Permil No_ __ <br /> Completed f3y Time Follow Up? <br />