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Work Activity Work Order Page � <br /> —._ ... .. . . _ <br /> _ B/19/�C15 11:9E <br /> ISSUed By HW --�--- ---...__. <br /> Issued Department Pw HUSBY, LANCE J. -- — <br /> PUBLIC WORKS <br /> Date Issued 6/16I2D15 <br /> Fund ep� Account 5 Program Function <br /> Program uraan e Activity <br /> a <br /> Tlil@ CONV[RT 751NCH 2225A ROCICEFELLER AVf- U73473-6-3 <br /> Work Order No 2��5�426 Pf0f2C� f1CfIVIIV T C CORRECTIVE Ml�INTENANCE <br /> SI2fUS 6/1 612 01 5 TlfrlO 07:30 Ofigif121 WO yP StatUS CL <br /> — - _ --- __ Billing <br /> C�stomer M(ormation <br /> Custome� Name Customer ld <br /> Address Street <br /> Apartmenl No City <br /> State Zip <br /> Subdiwsion <br /> Phone No ( � _ Change Map Y/N <br /> Ext <br /> Second Phone ( ) • Ext <br /> E-Mail Address ---- -- <br /> Probiem Information ----___. __ <br /> Address pZ25A Street ROCKEFELLERAVE <br /> From Cross Street <br /> To Cross Street <br /> City <br /> Subdivision ��p <br /> Probtem Map Book Map Reference <br /> Sub Problem <br /> Requested By <br /> Agency Date Requested <br /> Initiated From Related Requesl <br /> Utility Locate (USA) Nc Called Date <br /> Assignment Iniormation �xpiration Dale <br /> Uep1 <br /> Crew Pnonly [s:miated Hours <br /> Coniractor <br /> �ssigned To <br /> Assigned �y <br /> Assigned Date To De Comp Date <br /> Scheduled Date Scheduled Time �t�' `�" � �`y �Y 1� <br /> Route ~�"�,[. � 'bq#^, <br /> Route Sequence ���'c, . s. <br /> Comments <br /> Action Taken CONVERT .751NCVi CUROSiOP T0.751NCH SETTER Vb'ITH METER AND BOx. FLAT TO METER <br /> PROJECT <br /> Recommended Action <br /> Approved !3y q�� nHci�nnnr�enu�r, ,;oriN� Job Cost Information(Y/N) <br /> Start Date i i Time Date Compleled meno�s <br /> Compteted E3y Permit No <br /> Time Follow Up7 <br />