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eage 1 <br /> Work Activity Work Order 4,7�;zo1, l0_55 <br /> —--- <br /> ISSUBd By WMW WARD, MICHAEL W. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued ��ZZ�Z0�3 Account s Program ��o Function �ts Activity 675 <br /> Fund ao� <br /> Program <br /> Title REPAIR.i51NCH 2107 ROCKEFEILER AVE 710119675 ji2tU5 CL <br /> 20130690 PfOJOCf Activiry Type SERVICE RE�UEST <br /> Work Order No Billing — - - <br /> Status 3�z2'zo�s Time io.is Original W _ <br /> -- - --- <br /> Customer Information Cusromer ld <br /> Customer Name HOFF,JACOB StfBBI ROCKEFELLER AVE <br /> Address 2107 City <br /> Apartment No <br /> State Z�p Change Map YiN <br /> Subdivision <br /> Phone No ( azs ) zs7-aeae Ext _ _ _---_— ---- — - -- - <br /> Second Phone ( 1 • Ext <br /> E-Mail Address - - - — <br /> - - <br /> problem Information Street <br /> Address 2107 ROCKEFELLERAVE <br /> From Cross Street <br /> To Cross Street Zip <br /> City Map Book Map Reference <br /> Subdivision <br /> Problem WATER WATER <br /> Sub Problem SO/TO SHUT OFF OR TURN ON Date Requested snsizots <br /> Requested By ccM cnee,ct+no rn. Related Request oa�t�sea <br /> Agency <br /> Initiated From PUBLIC PUBLIC Ex iration Date <br /> Utility Locate (USA) f�o Called Date P <br /> Assignment Information priority Eslimated Huurs <br /> Dept Pw PUBLI�WORKS <br /> Crew <br /> Contractor <br /> Assigned To �TE <br /> YVESNANG,TERRY E. <br /> Assigned By To Be Comp Date <br /> Assigned Date _ <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CURB STOP REPLACED WITH METER SETTER.REMOVED CURBSTOP A�:O INSTALLED SETTER <br /> WITH JUMPER. <br /> Recommended Action <br /> Job Costlnformalion(YIN) <br /> R08ERTS, BRIAN N. �--���"- <br /> Approved By ReN -- <br /> --- Date Completed anei2ota _ _ __ Permit o <br /> Start Date � � _ Time — ? <br /> Time Follow Up. <br /> Completed By <br />