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Work Activity Work Order F°y° ' <br /> 721=9/�014 10:39 <br /> ISSU2d BY � HLJ HUSBY,LANCEJ <br /> �ssued DepartmentPw PUDLICWORKS <br /> Date Issued 17A312014 <br /> Fund ao� Account s Program Function Activiry <br /> f.ogram UT3473 s s <br /> Title CONVERT]S INCH 1123 RUCKER AVE UT3473�5�3 <br /> WOfk Ofd2�NO 20143349 PfOjBCt AC6Vity Typ@ CORRFCTIVE L7AINT[NANCE SIatUS CL <br /> Stalus nn3izo�a Time o9a� Original WO ____ Billing __ <br /> Customer Information <br /> Cuslomer Name Customer ld <br /> Address Street <br /> Apartment No ���Y <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No i ) • Ext <br /> Second Phone ( 1 - Ext — <br /> E-Mail Address <br /> Problem Information <br /> Address 1143 Street P.UCKERAVE <br /> From Cross Street <br /> To Cross Street <br /> City 2'p <br /> Subdivision Map Bouk Map Re(erence <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requesled By Date Requested <br /> Agency Related Request <br /> Indiated Frcm <br /> Utility Locate(USA) No Called Date Expire�ion Date <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 __ �n�j�'�=��'��e .':._:+�' �� Y` <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT JS INCH CURDSTOP T0.751NCH SETTER WITH METER AND EIOA.FI.AT TO h1FTER <br /> PROJECT. <br /> Recommended Action <br /> Approved By rtvc R000znNr,vnNce c Job Cost In(ormation(Y�N) <br /> Start Date � � Time Dale Completed �v�3no�a___ Perm�t No _ <br /> Completed By Time Follow Up? <br />