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Work Activity Work Order Page 1 <br /> z�iz�zois io:is <br /> Issued By HLJ HUSBV,UNCE J. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued �v6�2ou <br /> Fund �p� Account 5 Program Functicn Activity <br /> Program uTu�a s a <br /> Tifle CONVERT.75 INCH 1027 RUCKER AVE UT3473-5-3 <br /> WOfk O�d2f NO 20143317 PfOJECf Activity Type CORRECTIVE MAINTENANCE Sf8fU5 CL <br /> Status tiieno�a Time os:3e Original WO Billing <br /> Customer Intortnation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No Ciry <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) • Ext <br /> Second Phone ( I • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address �pp� Street RUCKERAVE <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 Dale <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date __ To Be Comp Date <br /> Scheduled Date Scheduled Time ��5�;�� <br /> Route Route Sequence °i' ��� <br /> Comments �l�� <br /> Action Taken CONVERT.75 INCH CUItBSTOP TO.75 INCM SETTER WITH MEiER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By Hw Huser,�nNCF�. Job Cost Information(Y/N) <br /> StaR Date � � Time Date Completed v�v2ot5 Permit No <br /> Completed By Time Follow Up7 <br />