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Work Activity Work Order `�:" '' <br /> :�;_�i��:� �, .�s <br /> ISSt12d BY HLJ HUSBY,LANCE J. <br /> Issued DepartmentPw PLBLICWORKS <br /> Date Issued iveiza�a <br /> Fund aot Accounl s Program Function Act�v�ty <br /> Program uTaa�s s 3 <br /> TIi10 CONVERT i51NCH 1223 RUCNERAVE UT3473�S�J <br /> Work Order No 2D143311 Project Activity 7ype coHHEcrn�E r.+nir�reNaNce Status c� <br /> Status �v6noia Timeo?oz OriginalWO Billing _ _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <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 qyp3 Streel RUCKERAVE <br /> From Cross Street <br /> To Cross Slreet <br /> City Zip <br /> Subdivision h4ap Book t�1ap Reference <br /> Problem WATER WATER <br /> Sub Froblem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initialed From <br /> Uhhty Locate(USA) No Called Date Expiralion Date <br /> Assignment Information <br /> Dep� Prionty Estunated Hours <br /> Crew <br /> Coniractcr <br /> Assigned To <br /> Assigned By <br /> Ass�gned Dale To Be Comp Date <br /> Scheduled Date Scheduled Time __ _ _ f�i p�;!�.� � ,�, p� <br /> Route J Route Sequence � �� "-�{-� � ; <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP TO]S INCH SETTER WITH�dETER AN�DOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By Rvc ROODZANT,VANCE C Job Cost Iniormalion(Y/N) <br /> Start Date i � _ Time ___ Date Compteted �v�zisoia _ Permil No <br /> Completed By Time Follow Up� <br />