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Work Activity Work Order ��9e ' <br /> o/»/zois ii :zo <br /> ISSUEd BY HLJ HUSBY,LANCE J. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued �neizo�s <br /> Pund aot Account s Program Function Activity <br /> Program uraa�a e a <br /> TiiIB CONVERT.51NCH 2119 ROCKEFELLER nVE UT3473-6-3 <br /> Work Order No 20�5�6�5 PfOJf:CI Activily Type CORR[CTIVE fJAINTEN�NCE $181U5 CL <br /> Status _ �r2ar2o�s Time �a23 Original WO _ Billing____ __ _ <br /> Customcr Iniormation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( > • Ext <br /> Second Phone ( > • Ext — - <br /> E-Mail Address <br /> — --- --- - —- --- -- <br /> Problem Information <br /> Address y��g Street ROCKEFELLERAVE <br /> From Cross Street <br /> To Cross Strcet <br /> City Z�P <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTNER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Indiated From <br /> U6hty Locale (USH) No Called Dale Expiration Date <br /> /lssignment Information <br /> Dept Priority Eslimaled Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> �ssigned Dale To Be Cump Dale <br /> Scheduled Date Scheduled Time �`�' '' � <br /> ;�'l�:r � ��� � ��'� <br /> Route Route Sequence � ' �" <br /> Comments <br /> Action Taken CONVERT.5 INCH CURBSTOP TO.751NCH SETTER WITH METER AND 90X. FLAT TO METER <br /> PROGRAM. <br /> Recommended Action <br /> Approved By n�,1 nHCHnnnu[nu�T, �ortr�� Job Cosl InformaGon(Y/N) <br /> Slart Date � � Time Date Completed nz9no�s Permit No _ <br /> Compleled 8y 7ime Pollow Up� <br />