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Work Activity Work Order `''=" ' <br />�:i;tz%zo,s ia:zi <br />ISSuOd By HLJ HUSBY, IANCE J. <br />Issued Departrc�ent Pw PUBIIC WORKS <br />Date Issued �mvza�s <br />Fund aot Account 5 Program Func(�c� Activity <br />Program ur3an 6 3 <br />T�tlB CONVERT 5 INCfi 3J1 ROCKEFELLER AVE UTJA73{i-3 <br />Work Order No Z�i52�8� PfOf2CI Activity Type COFRECTIVE MAINTENANCE <br />StaWs �oizizois Time �< n Onginal VJO Billing <br />Customer Information <br />Customer Name Customer ld <br />Address Street <br />Apartment No City <br />State Zip <br />Subdivision Chanq_e Map YIN <br />Pnone No � � • Ext <br />Second Phor,e 1 ) • Ext — ---- " <br />E-Mail Address <br />Problem Information <br />Address 331 Sireet ROCKEFELLER AVE <br />From Cross Slreet <br />To Cross Street <br />City Zio <br />Subdiwsion Map Book Map Reference <br />Problem WATER WATER <br />Sub Prcblem OTHER OTHER <br />Requested By Date Requested <br />Agency Relat^_d Request <br />IniUated From <br />Uhlity Locate (USA) No Called Date Expiration Dale <br />Assignment Information <br />Depi Prrorrty Eshmated Hours <br />Crew <br />Contracror <br />Assigned To <br />Assigned By _ <br />Assigned Date To Be Comp Date <br />Scheduled Date Scheduled Time � • '.� '� <br />Route Route Sequence <br />Comments <br />Action Taken CONVERT .S INCH CURBSTOP TO .751NCH SETT[R WITH METER AND BOX. FLAT TO MET[R <br />PROGRAM. <br />Recommended Action <br />Approved Dy EAL ERICHSON, ANDREW L. <br />Start Date i � Time <br />Completed By <br />Status c� <br />Job Costln(ormation(Y/N) <br />Date Completed �oieizots Permit No _ <br />Time Fotlow Up? <br />