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Work Activity Work Order pa9� 1 <br /> iz/ie/zoia �o:a� <br /> ISSU2d BY HLJ HUSBY,LANCE J. <br /> Issued Depariment Pw PUBLIC\NORKS <br /> Date Issued 7 116120 7 4 <br /> Fund aot Account 5 Program Function Activity <br /> Program uraa�3 5 a <br /> Tlile CONVERT]S INCH 1209 RUCKER AVE UT3473-53 <br /> Work Order No 20143315 PfOJECf Activiry Type CORR[CTIVE f✓�AINTENANCE �:diUS CL <br /> Status iv5rzoia Time osao Original WO _ Billing ______ _ _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartmenl No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 - Ex! <br /> Second Phone � 1 • Exl <br /> E-Mail P,ddress <br /> Problem Information <br /> Address �ppg Street RUCKERAVE <br /> From Cross Sireet <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 Dat� ficquested <br /> Agency Related Reyuest <br /> Initiated From <br /> Ulility Locate(USA) No Called Dale Expiration Date <br /> Assignment Iniormation <br /> Depi Prionty Es�imated Huurs <br /> Crew <br /> Conlractor <br /> Assigned Tu <br /> Assigned Dy <br /> Assigned Date ___ To Be i,omp Date <br /> Scheduled Date _ _ ____ Scheduled Time _____ i� ��`yEg;��6 �_;�;i+' �'j�� <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP TO.751NCH SETTER WITH h7ETER AND 90X.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By ttvc ROODu+Ni,vANCE C. Job Cost Information(Y/N) <br /> Start Date i i Time Date Completed iv�aisoia Permit No _ <br /> Compleled By Time Follow Up7 <br />