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Work Activity Work Order Pa9e 1 <br /> s�i��zois i::,� <br /> ISSU2d By HLJ HUSBY,LANCE J. <br /> Issued Deparlment Pw PUBLIC WORHS <br /> Date Issued 611 612 01 5 <br /> Fund ao� Account s Program Function Activity <br /> Program ursa�a s a <br /> TiIIC CONVERT .751NCH 2219 ROCK[FELLER AVE UT3473-6-3 <br /> Work Order No 2��5�42� PfOf2Cl Activity Type CORREC7IVE tdAINTENANC[ S1afU5 CL <br /> Status sns�2oi5 Time orss Original WO Billing_ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Slreet <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) • Ext <br /> Second Phone ( 1 - Ext --- `— <br /> E-Mail Address <br /> Problem Information <br /> Address yy�g Streel ROCKEFELLER AVE <br /> From Cross Street <br /> To Cross Street <br /> Ciry ZiP <br /> Subdivision 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 /> Utddy Locale (USA) No Called Date Expiration Date <br /> Assignment Informa[ion <br /> Depl Pnonty [stimated Hours <br /> Crew <br /> Conlractor <br /> Assigned To <br /> Assigned By <br /> Assigned Dale fo 13e Comp D�tc <br /> Scheduled Time �^`a!�'�=�,� � iy <br /> Scheduled Date � �r .c, �; <br /> Route Route Sequence �` "� <br /> :. c.: ,, . <br /> Comments <br /> Action Taken CONVFRT JS INCH CURElSTOP TO ]S INCH SETTER WITH METER AND DOX.RAT TO METER <br /> PROJGCT <br /> Recommended Action <br /> �pproved Qy n,ld �RCIIAtdBEAULT,JOHN J Job Cosl In(ormalion(Y/N) <br /> Start Dale � � Time Date Compieted nzeizo�s __ Permit No <br /> Completed By Time Follow Up7 <br />