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Work Activity Work Order Pdge 1 <br /> a/is/zois ii :ze <br /> Issued By HLJ HUSBY,LANCE J. <br /> Issued Department pw PUBLIC WORKS <br /> Date Issued �nnzo�s <br /> Fund qo7 Acccunt s Program Function Activiry <br /> Program UT747J 6 3 <br /> TiUe CONVGRT 751NCF1 2]21 ROC7<EFELLER AVE UT3473-6-J <br /> Work Order No 20151662 f fOJEC1 Activiry Type CORRECTIVE MAINTENANCE Sl'd1U5 CL <br /> Status �nnzois Time �s i2 Originat W0 _ Billing _ _ <br /> Cusromer In{ormation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No Ciry <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 - Exl <br /> Second Phone ( 1 • Ext -- -- <br /> E-Mail Address <br /> Problem Information <br /> Address 23y� Street ROCKEFELLEk AVE <br /> From Cross Street <br /> To Cross Street <br /> Gty Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Dale Requested <br /> Agency Related Request <br /> Indiated From <br /> UUldy Locate (USA) No Called Date Fxpiration Date <br /> Assignment Information <br /> Depl Pnonty 6slimaled Hours <br /> Crev✓ <br /> Contractor <br /> Assigned To <br /> �ssigned By <br /> �ssigned Dale _ _ To Be Comp Date <br /> Scheduled Dale Scheduled Time if��'ty i. � <br /> Route Route Sequence � ��'l'�=~ -7% <br /> t � �: �. <br /> Comments <br /> Action Taken CONVERi .751NCH CUROSTOP TO ]S INCH SETT[R WITH M@TER AND BOX.FLAT TO MET[R <br /> ['ROGRAM. <br /> Recommended Action <br /> �pproved By AJJ l�RCHAM[3[AULT,JONN J Job Cost Information(Y/N) <br /> _ _--_--_._' <br /> Start Date � � T�me Date Compleled �neizots Permit No <br /> Compleled By Time Follow Up? <br />