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Work Activity Work Order Pa°` ' <br /> z��a;zo:s ti:�� <br /> ISSUEd BY � SJT2 SPOONER.JAMES T. <br /> Issued DzpartmentPw PUBLIC WORKS <br /> Date Issued �nsizo�s <br /> Fund ao� Account s Program Function Activity <br /> Program uraa�a s 3 <br /> TillO CO`1VERT 751NCH 101d RUCHER AVE UT3473•5•3 <br /> WOfk�fd0f NO 2��502Z� PfOJ0C1 Activiry Type CORRECTIVE L;AINTEN�NCfl $181US CL <br /> Slatus inenois Time to�+a Original WO _ __ Billing _ . <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apa�tment No City <br /> State Z�P <br /> Subdivision Chanae Map Y/N <br /> Phone No l 1 - Ext __ <br /> Second Phone ( ) • Exl — <br /> E-Mail Address -- <br /> Problem Information <br /> Address ip�q Street RUCKERAVE <br /> Fwm 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 /> Ut�lity Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Pnonry Estimated Hows <br /> Crew <br /> Con�racior <br /> Assigned To <br /> Assigned By } • „, <br /> Assigned Da;e _ To Oe Comp Date _ ;a}�����-�nw <br /> Scheduled Dale _ _ Scheduled Tirne _ Y����r��' <br /> Route Roule Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP TO .751NCH SETTER WITH M[TER AND BOX. FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ HUSBY,LANC[J Job Cost Information(Y/N) <br /> Time Dale Com leted vso�zo�s_ Permit No ____ ,.� <br /> Slart Date i � ---- p — .I <br /> Completed By Time Follov+ Up7 <br />