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�Vork Activity Work Order <br />� ,�., , <br />= ..... �� <br />------- -- --- — - ------ -- __ -- <br />ISSUf'd By HLJ HUSBY, LANCE J. <br />Issued Department Pw PUBLIC WORKS <br />Date Issued 1I7912016 <br />Fund aot Account s Program Function Act�vi;, <br />�rogram ursari 9 a <br />i'�tit� CON\'cRT 75 INCH 3708 ROCKEFELLER AVE UT7Gi3�9J <br />�:i'ork Order No z0?50256 Pro�ecl Actwity Type CORR[CTIVE �dAINTENA4CE Slatus c� <br />Status_ __ _ v+e zo�5 Time_�z 3o Original W0 _ 8dling <br />Customer Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No l ) <br />Second Phone ( ) <br />E-Mail Address <br />Problem Information <br />Address 3708 <br />From Cross Street <br />To Cross Slreet <br />City <br />Subdiviswn <br />Sfreet <br />Gty <br />Zip <br />Ext <br />Ext <br />Street ROCKEFELLER AVE <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By <br />Agency <br />In�t�ated From <br />UUlity Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Ass;gned To <br />Assigned By <br />Assigned Date _ <br />Scheduled Date _ <br />Route <br />Comments <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Cuslomer ld <br />Change Map YM <br />Lp <br />tviap Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Prionty [sUma(ed Hours <br />� 1 <br />�.��wr�r")�f� . �. <br />",.'�1�•i•'��:.rli <br />Action Taken CONVERT .75 INCH CURBSTOP TO 751NCH SETTER WITH METER AND BOX. f LAi TO METER <br />PROGRAh7. <br />Recommended Action <br />Approved By wo� WEAVER, DEAN L Job Cosl Information(Y/hJ) <br />S1art Date i i Time Date Completed vzvzo�a Permit No <br />Completed Qy Time Follow Up� <br />