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Work Activity Work Order '��° � <br /> ��>;/a-ie ,- <br /> ISSUEd By � HLJ HUS[iV,LANCE J. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued zrenots <br /> Fund aoi Account s Program Function Actiwty <br /> Program utaa» 5 3 <br /> Tille CONVERT 751NCH 17C2 RUCKER AVE UT3473-5�3 <br /> WO�k OfdEf NO 20150320 PfO�eCi Acliv�ty Type CORRECTIVE IMWTENAIJCE SlZlUS CL <br /> Status zrarz0is Time oei9 Original WO ____ Billing_ _ ______ ______ __ <br /> Customer Information <br /> Customer Name Cuslomer ld <br /> Address Streel <br /> Apartmenl No C�ty <br /> State Z'P <br /> Subdivision Change Map YIN <br /> Phone No ( 1 - Ext <br /> Second Phone 1 ) - Ext – <br /> E-tvtail Address —_ -- - <br /> Problem Information <br /> Address 130Z Sfreel RUCKERAVE <br /> From Cross Street <br /> To Cross Slreet <br /> City Zip <br /> Subdrvision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTNER <br /> Requesled By Dale Requested <br /> Agency Relatcd Request <br /> Imtiated From <br /> Ut�hly Locate(USA) No Called Dale Expiration Datc <br /> Assignment Information <br /> Depl !'rion�y Estir•irited Haurs <br /> Crev+ <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date _ _ _ To 8e Comp Date <br /> Scheduled Dale __._ Scheduled T�me <br /> Roule Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP TO.751NCH SETTER WITH tdET[R AND 80%.FIAT TO GSLT[R <br /> PROJ[CT. <br /> Recommended Action <br /> Approved By wo� W�vER, o�nN�. Job Cost Informalion(Y/N) <br /> Start Dale i i Time ____ Date Completed vsna�s _ __ Permd No <br /> Completed By � Time Follow Up? <br />