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6 <br />Work Activity Work Order `'°' ��� � <br />_,. __�:, t __ <br />ISSUedBy HLJ � HUSBY,LANCEJ. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 111912016 <br />Fund aot Account s Program Function Acuvity <br />Program uraa�a e a <br />TIfl2 CONVERT S INCH 3221 ROCKEPELLER AVE UT34i3�9�3 <br />Work Order No 2��60z�9 PfOJBCI Activity Type CORRECTIVE MAINTEN�NCE Sf2fl1S CL <br />Status vi9no�5 Time_ �s 3o 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 />Phone No � > • Ext <br />Second Phone � 1 - Ext — <br />E-Mail Address <br />Problem In/ormation <br />Address 3YP� Street ROCKEFELLER AVE <br />From Cross Stree� <br />To Cros� Street <br />Ciry Z'p <br />Subdivision Map Book �vtap Reference <br />"roblem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By Date Requested <br />Agency Related Request <br />Ind�aled From <br />Utiliry Locate (USA) No Called Date Expiration Date <br />Assignment Intormation <br />Deot Prionty Esumated Hours <br />Crew , <br />Conlractor t+, q (, .; �,�'+ `;. � � <br />; �',._-1'����= i �+ <br />Ass�gned To t. !'-: ���_:,��' <br />Assigned By <br />Ass�gned Dale _ To Be Comp Date _ <br />Scheduled Date Scheduled Time __ <br />Route Rouie Sequence <br />Comments <br />Action Taken CONVERT .5 �NCH CURBSTOP TO .751NCH SETTER K'ITH MET�R AND BOX. FLAT TO h7ETER <br />PROGhAM. <br />Recommended Action <br />Approv=d By wo� WEAVER, DEAN L Job Cost Information(YIN) <br />Start Date i i Time Dale Completed ineno�e __ _ Permit No <br />Compleled By Time Folloe� Up� <br />