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Work Activity Work Order � ' <br /> __ _�: �_�, . . . <br /> ISSUEd By NLJ HUSBY,LANCE J. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued niuizoia <br /> Fund aot Account s Program Function Actroiry <br /> Program UT3473 5 3 <br /> TiUe CONVERT 751NCH 1129 RUCKER AVE UT3473-53 <br /> Work Order No 201A3347 PfOJECf Activity Type CORRFCTIVE tJAINTENANCE $fBfUS CL <br /> Status �vi3rzo�a Time o9as Origmal WO Billing __ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No C�ty <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 • Ext <br /> Second Phone ( ) • Ext — — <br /> E-Mail Address <br /> Problem Information <br /> Address i�yg Street RUCKERAVE <br /> From Cross Street <br /> To Cross Streel <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 /> Utdity Locate(USA) No Called Date [xpiration Date <br /> Assignment Information <br /> Dept Prionty Fstimaled Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date _ To Be Comp Date ���k�`r��, �, <br /> Scheduled Time ���tl°������ <br /> Scheduled Date __ _- _ _ <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVBRT.IS INCH CURBSTOP TO]S INCH SETTER WITH M[TER AND BOR.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By avc R0007r�.rdr,vni+c[c Job Cost Information(Y/N) <br /> Start Dale � � Time Date Compleled tut3�zoia Permit No _ <br /> Completed By T ime follow Up? <br />