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Work Activity Work Order P�qe 7 <br /> e�i��zois ii: i9 <br /> ISSU2d By HLJ HUSBY,LANCE J. <br /> Issued DepartmentPw PUBLII;WORKS <br /> Date Issued nzeizo�s <br /> Fund aot Account s Program function Activity <br /> Program uTaa�a e a <br /> TiIIC CONVERT.5 INCH 2115 ROCKEFFLLER AVE UT3473�fi-3 <br /> WOfk Ofde�NO 2��5�6�6 P�OJeCf Activity Type CORRECTIVE MAINT[NANC[ SfaluS CL <br /> Status 7/2B/2015 Time �3z5 Onginal WO _ Billing _ _____ ___ _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartme�l No City <br /> State Z�p <br /> Subdivision Change Map Y/N <br /> Phone No ( � • Ext <br /> Second Phone ( 1 - Ext <br /> -- _ _ _ — ---— <br /> [-Mail Address — <br /> Problem Information <br /> Address p��g Streel ROCKEFELLERAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdiwsion Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> UUldy Locale (USA) No Called Dale Expiration Date <br /> Assignment Information <br /> Depl Priority Estimaled liours <br /> Crew <br /> Conhactor <br /> Assigned To <br /> �ssir�ned By <br /> Assign^d Dale To De Comp Dale _____ _ <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> �ction Taken CONV[RT.5 INCH CURBSTOP TO.751NCY SETTER WITH METER AND BOX. FLAT TO MCTER <br /> PROGR/1M. <br /> Recommended Action <br /> AP�fOV�d QY AJJ ARCHAML3f-AULT,JOHN J Job Cost In(ormaUon(Y/N) <br /> - --- __ _ _— . _ _ <br /> Start Date � � Time _ Date Completed ��zeno�s Permit No__ _ <br /> Completed By Time Follow Up? <br /> I <br />