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Work Activity Work Order Page � <br /> z�iz�sois i4:zo <br /> Issued By HW HUSBY,LANCE.1. <br /> Issued Departmen[Pw PUBIICWORKS <br /> Date Issued itn7aou <br /> Fund 4ot Account s Program Function Activity <br /> Program uru�� e a <br /> T1112 CONVERT.751NCH 1005 RUCKER AVE UT3413•53 <br /> WOfk OfdEf NO 20143391 PfOJBC� Activity Type CORRECTIVE MAINTENANCE $f8tU5 CL <br /> Status ivi��zoia Time i4sz Original WO Billing _ <br /> Customer In(ortnation <br /> Cusromer Name Customer ld <br /> Address Streel <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - E� <br /> Sewnd Phone ( 1 • Ext <br /> E-Mail Address <br /> Problem InformaUon <br /> Address �ppg Street RUCKE�2AVE <br /> From Cross Street <br /> To Cross Street <br /> City--- Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Intortnation <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By �1a�R��I L���� <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP T0.75 INCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECL <br /> Recommended Action <br /> Approved By HLJ HUSBY,LANCe�. Job Cost Information(Y/N) <br /> Start Date � � Time Date Compieted vtysots Pertnit No <br /> Completed By Time Follow Up? <br />