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Work Activity Work Orcler :°`° ' <br /> �: ���;:,_, ���., . <br /> - ---- _- —- -- — — - -- ---- - - — <br /> Issued By iiLJ 11USBY,LANCE J. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued �v�aizoia <br /> Fund aoi Accounl s Program Functicn Activity <br /> Program UT34]J 5 � <br /> Tille CONVERT 75 iNCH 1125 RUCKER AVE UT3473-5-3 <br /> Work Order No z0143348 P�OJECI Activity Type CORRECTIVE IvSAWTENANC[ $I2fU5 CL <br /> Status �v�arzoia Time o94e Original WO Bilimg <br /> Customer Information <br /> Cuslomer Name Customer ld <br /> Address Streel <br /> Apartment No City <br /> State ZiP <br /> Subdivision Change Map Y/N <br /> Phone No ( ) • E�R <br /> Second Phune 1 ) - Ext —— -- - <br /> Gtvlad Address <br /> Problem In(ormation <br /> Address 11P5 Street RUCKERAVE <br /> From Cwss Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Re`erence <br /> Problem WATER WATER <br /> Sub Problem OrNER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Uhhty Locate(USA) No Called Date Expiralion Date <br /> Assignment Information <br /> Depl Prionty [stimated Hours <br /> Crew <br /> Contractor <br /> Asstgned To <br /> Assigned Dy <br /> Assigned Dale _ To Be Comp Dale _ �_ <br /> (_�J�:� 'j,7�'� "� „ -, <br /> Scheduled Date Scheduled Time r � `��� '_ �����`' ��' <br /> Roule Raute Sequence <br /> Commenls <br /> Action Taken CONVERT.751NCH CUR�STOP 10.751NCIi SETTER WITIi h1ETER AND DO%.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved 8y RVC ROODZANT,VANCE C JOL COSI I�(OfR1aIl0i1(Y/N) <br /> Start Date � i Time Oale Compleled t^n3no�a_ Permit No _ <br /> Completed By Time I cllo�v Up� <br />