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Work Activity Work Order ['a9� 1 <br /> 8/19/2075 11 :27 <br /> ISSUed BY HLJ HUSBY,LANCE J. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued nzano�s <br /> Fund qo� Account 5 Prooram Funclion Activity <br /> Program UTJ473 e a <br /> Title CONVERT.5 WCH 2123 ROCKEFELLER AVE UT3473�6-3 <br /> Work Order No 20151673 P�OJ2Cl Ac6vity Type CORRECTIVE MA�NTENANCE SfBIUS CL <br /> Status 7neno�s Time �a:ie Original WO Billing _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phane No ( 1 • Ext __ ____ <br /> Second Phane l ) • Exl <br /> E-Mail Address __ _— -. --- ------ <br /> Problem Information <br /> Address pfp3 Streel ROCKEFELLERAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Oook Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested Dy Date Requested <br /> Agency Relaled Request <br /> Initiated From <br /> Uldity Locate (USA) No Called Date Expiration Date <br /> Assignment I�formation <br /> Depl Priority Fstimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned �y <br /> To Be Comp Date ' ' '��' �" ' � <br /> Assigned Date – -- '� u <.:i :1`�i � �� �- ��� <br /> Scheduled Date Scheduled Time <br /> Raute Raute Sequence <br /> Comments <br /> Action Taken CONVERf.S INCH CUR�STOP TO .751NCH SETTER WITH METER AND OOx. FLAT TO MFTFR <br /> PROGRAM. <br /> Recommended Action <br /> Approved By n�� AkCHAME�EAULT,JOIiN J Job Cost Information(Y/N) _ <br /> Start Date i � Time _ _ Date Completed �nv2o�e Permit No <br /> Completed By Time Follow Up� <br />