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Work Activity Work Order <br />ISSUed BY HLJ HUSBY, LANCE J. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 111 912 0 1 6 <br />Fund aot Account 5 Program <br />Program uraa�a e a <br />TIIIE CONVERT 51NCH 3406 ROCKEFELLER AVE UT3473A�7 <br />Work Order No 20160245 Project Aclivity Type <br />Status tneizo�e Time �1 53 Onginal WO <br />FuncUon <br />Pawe 1 <br />2/'_5/20'.0 9�.L_ <br />Actiwty <br />CORRECTIVE h1AINTENANCE $I2tC5 CL <br />Customer Information <br />Customer Name Customer ld <br />Address Street <br />Apartment No C�ty <br />Slate Zip <br />Subdivision Change Map Y/N <br />Phone No ( ) • Ext <br />Second Phcne l ) • Exl <br />E-Mail Address <br />Problem Information <br />Address 3406 Street ROCKEFELLER AVE <br />From Cross Street <br />To Cross Street <br />City Zip <br />Subdivision Map Dook Map Reference <br />Problem WATER WATER <br />Sub Problem OTHER OTNER <br />Requeste� By Date Requested <br />Agency Reiated Request <br />Initiated From <br />Utd�ry Locate (USA) No Called Date Expiration Date <br />Assignment Informatinn <br />Dept Prionty EsUmated Hours <br />Crew <br />Conlractar <br />Assigned To <br />Assigned dy <br />Assi ned Date T� Be Comp Date � ". '� ;° ��� <br />e , ,�:�i r.;��.,>�.�` �. !.. iT''!�� . <br />Scheduled Dale Scheduiad Time ' <br />Route Route Sequen�e <br />Comments <br />Action Taken CONVERT .5 INCH CURBSTOP TO .75 INCN SETTER WITH METER AND BOX. FLAT TO METER <br />PROGRAM. <br />Recommended Action ' <br />Approved Dy WDL WEAVC-R, DEAN L .lOb COSI IflfOffTlatiO�(Y/N) <br />Start Date i � Time Date Completed vzanote Pe <br />Comple(ed By Time Fallow Up� <br />No <br />