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Work Activity Work Order <br />�a5� � <br />�;s�zoie a �� <br />----- -- - - - --- - -- — --- --- -- <br />ISSUBd BY � HLJ HUSBY, LANCE J. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 1I7912016 <br />Fund aoi • Accounl5 Program Function Actiwty <br />Program uT1a�a 9 � <br />TIll2 CONV[RT 751NCM �515 ROCKEFELL[R i,VE UTJ473�9-3 <br />WOfk �fdC'f �10 2��s�Z�O PfOf2C� AcGv�ty Type CORRECTIVE h1A1NTENANC[ <br />Status 'n92o�o Time +3 C» Onginal WO Bilhng <br />Custom�� Information <br />Customer Name <br />Address <br />Apartmenl No <br />State <br />Subdwision <br />Phone No ( 1 <br />Second Phone ( � <br />E-Ntail Address <br />Problem Information <br />Address 3515 <br />From Cross Street <br />To Cross Street <br />Ciry <br />Subdiwson <br />Street <br />Gty <br />Zip <br />Ext <br />Ext <br />Street ROCKEFELLER AVE <br />Problem WqrER WATER <br />Sub Problem OTHER OTHER <br />Requested By <br />Agency <br />Indialed From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contracror <br />Ass�gned To <br />Assigned By <br />Assigned Dale <br />Scheduled Date <br />Roule <br />Comments <br />Map Book <br />Called Date <br />To Be Comp Date <br />. Scheduled Time <br />Route Sequence <br />Customer ld <br />Char.ge Map Y/N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Dale <br />Prionty Estirnaled Flours <br />; ���'`' "'�' �i.D �1 s ,_ <br />� �-_��;..'�a. <br />Action Taken CONVERT .75 �NCH CURBSTOP TO .751NCH SETiER WITH h1ETER ANU BOX. FLAT TO METER <br />PRUGRAM <br />Recommended Action <br />$I2IU5 CL <br />Approved 8y wo� WEAVER DEAN L JOb COSI 1t110fI712ti0f1(Y/N) <br />Start Date • i i Tlme Dale Completed �izvzoie Permit No <br />— -- – -- --- -- <br />Completed By Time Follow Up� <br />