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Work Activity Work Arder <br />'r t�:f . <br />.._. . ,�,� <br />--- – - ----- — — _ — - <br />Issued By HLJ NU58Y, LANCE J. <br />Issued Departmentrw PUBLICWORKS <br />Date Issued 1I7912016 <br />Fund aot Account s Program Function Acuvdy <br />Program UT3473 e a <br />TIIIP CONVERT S INCH )4C68 ROCKEF[LIER AVE UT3473�9J <br />Work Order No Z0�6�244 PfOfE'Cl Aclivlty Type CORRECTIVE tdAINTFNANCE <br />Status iner'o�e Time ii a9 Onginal WO Billing <br />Customcr Information <br />Customer Name <br />Address <br />Apartment No <br />State <br />Subdiwsion <br />Phone No � � <br />Second Phone ( 1 <br />E-Ma�l Address <br />Problem Informa[ion <br />Address 34068 <br />From Cross Street <br />To Cross Sireet <br />City <br />Subdrvision <br />Problem WATER <br />Sub Probtem OTHER <br />Requested By <br />Agency <br />IniUated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned ib <br />Assigned !3y <br />Assigned Dale <br />Scheduled Date <br />Route <br />Comments <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street ROCKEFELLER AVE <br />WATER <br />OTHER <br />Map Book <br />Called Date <br />T � Be Comp Date <br />Scheduled T�me <br />Route Sequence <br />Customer ld <br />Change Map YiN <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />ExpuaGon Da;e <br />Prionty EsGrnaleC fiours <br />Action Taken CONVERT .S INCH CURBSTOP T0.751NCH SETTER WITN GIETER ANO BOX FLAT TO M11[TER <br />PROGRA�d. <br />Recommended Action <br />$lBWS CL <br />Approved By wo� WEAVER DEAN L JOb COSf IflfOfrTlatiO�(Y/N) <br />Start Date � i Time Oate Completed vzoizoie Permd No <br />Completed By Time Follow Up� <br />