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Work Activity Work Order Page 1 <br /> s�i9�:oi5 ii :iz <br /> ISSUEd By HLJ HU58Y,LANCE J. <br /> Issued Departrne�taw PUBLICWORKS <br /> Date Issued nzeizois <br /> Fund aot Account 5 Program Function Activity <br /> Program uT�4�a 6 � <br /> TiUe CONVERT.5 INCH 2105 ROCKEFELLER AVE UT3473-6-3 <br /> WOfk O�dBf NO Z��5�6�9 PfOjBCf Activity Type CORRECTIVE MAINTENANC[ SfefUS CL <br /> Status _ �izanois Timeiaao OriginalWO Biiling <br /> Customcr Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No Ciry <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( l - Ext <br /> Second Phone ( ) • Ext -- --- ---- --- -- ---- <br /> E-Mail Address <br /> Problem Information — <br /> Address y�ps Slreet ROCKEFELLER AVE <br /> From Cros; Street <br /> 7o Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requesled <br /> Agency P,elated Request <br /> Initiated From <br /> UUliry Locate (USA) No Called Date Expiralion Date <br /> Rssignment Information <br /> Ocpt Pnority Estimaled Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By ; _ <br /> Assigned Date To Be Comp Date _ ��=��-_iq ,aF a <br /> Scheduled Date _ ___. Scheduled T'.me !" r•"' '; s:. <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.S INC11 CURBSTOP T0.751NCI{$ETTER WITH METER AND BO%. FLAT TO M[TER <br /> PROGRAM. <br /> Recommended Action <br /> Approved [3y AJJ ARCI1A�dD[AUI.T,JOIIN J Job Cost Information(Y/rJ) <br /> Start Date _ � � Time _ Dale Completed n29nou Permil No <br /> Completed By Time Follow Up� <br />