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Work Activity Work Order �a"' ' <br /> , ;�,� _:s �:_;� <br /> ISSU2d BY SJi2 SPOONER,JAMES T <br /> Issued DepartmentPw PUBLIG:YORKS <br /> Date Issued v�srzo�s <br /> Fund qot Account s Program Function Act�vity <br /> Program unan s 3 <br /> Tdl� CONVERT]S INCH tOC6 RUCK[R AVE UT3473-5•3 <br /> WOfk OfdE� NO 2��5�Z�9 PfOjOCI AcUwry Type CORRECTIVE IdAWTENANCE $IBll15 CL <br /> Status 1I�62015 Time �ozo Ongmal WO Billing _ _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No ��N <br /> State Z�P <br /> Subd�vision Change Map Y/N <br /> Phone No ( � - Ext <br /> Second Phone ( 1 • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 1006 Street RUCKER AVE <br /> Fram Cross Street <br /> To Cross Street <br /> City Z'p <br /> Subdivision ivtap Book Map Reference <br /> Probiem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested Dy Date Requested <br /> Agency Rela,ed Request <br /> Iniliated From <br /> Utihty Locate(USA) No Called Date Expiralion Date <br /> Assignment Information <br /> Dept Pnonty [st�mated Hours <br /> Crew <br /> Conlractor <br /> Ass�gned Ta <br /> Ass�gned E3y <br /> Ass�gnedDale _.___ ToBeCompDate __ ��#ZC�i���[j <br /> Scheduled Date Scheduled Time _ ����4? <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP TO.751NCH SETTER WITH NETER AND BOX.FLAT TO h1E7[R <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ Nusov. �Nce � Job Cost Information(Y/N) <br /> Slart Date � i Time _ Date Compleled vaoizo�s _ Permit No_ <br /> Gompleled By Time Follow Up� <br />