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Work Activity Work Order Pa9e � <br /> 9/10/2015 10:21 <br /> ISSUBd By WDL WEAVER,DFAN L. <br /> Issued Departmentrw PUBLICWORKS <br /> Date Issued enoiza�e <br /> Fund aoi Account 5 Program Function Activity <br /> Program UTJ471 6 3 <br /> TIII2 CONVERT.75 INCF1 2128 ROCKEFELLER AV[UT3473�6-9 <br /> Work Order No 20151797 PfOJ@Cf Activity Type CORRECTIVE M/11NTENANCE SIHfUS CL <br /> Status _ ano�zois Time �os9 OriginalWO Billing <br /> Customcr Iniormation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No ��ty <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) • Ext <br /> Second Phone ( ) • Ext -- - -- ---- <br /> E-Mail Address <br /> Problem Information <br /> Address p�Zg Street ROCKEFELLER AVE <br /> From Cross Street <br /> To Cross Sireet <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested F3y Date Requested <br /> Agency Related Requesl <br /> Iniliated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignme�t Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> �ssi ned Date To De Comp Date " ',�- ,� ,; ;.- . .. <br /> 9 _ _ __ — � !li:;�li�1�'�f?11r�-i�',aE.��t; <br /> Scheduled Dale Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP TO.751NCH SETTWER METER AND�OX. FLAT TO ME7ER <br /> PROGR/1M. <br /> Recommended Action <br /> Approved �y EAL f RICKSON,ANDRBW L Job Cost Informa6on(YIN) <br /> Start Date � � Time Dale Completed enti2ots Permi! No <br /> __ _ _ _ . _ _ _ <br /> Compleled By Time Follow Up? <br />