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Work Activity Work Order ���` �- <br /> iz/-/zoi�a io:s: <br /> ISSUBd BY HLJ � HUSBY,LANCE J. <br /> Issued Department aw PUBLIC WORKS <br /> Dale Issued tveno�a <br /> Fund ao� Account s Program Function Activity <br /> Program uraa73 s a <br /> T�Ue CONVERT 75 INCH 1331 RUCKER AVE UT3473-5•3 <br /> WO�k OfdE�NO 20143305 ProjBCt ACtivlty TypO CORRECTWE IdAWTENANCE SI01U5 CL <br /> Status �ve�zoia Time oe a� Original WO Billing <br /> Cuslomer Intormation <br /> Customer Name Customer id <br /> Address Street <br /> Apartment No ��ry <br /> Slale Z�P <br /> Subdivision Chanoe Map Y/N <br /> Phone No l � - Ext <br /> Second Phone ! 1 - Ext — — <br /> E-I�Aail Address <br /> Problem Information <br /> Address �331 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 /> Requesied By Dale Request�•r1 <br /> Agency Related Reauest <br /> Initiated From <br /> Utihry Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Prionty Estimated He;;rs <br /> Crew <br /> Conlrar.lor <br /> Assigned To , <br /> Assigned By <br /> Assigned Date _ ___ To Be Comp Date _ `�� . : _` _: � ,:. _ , <br /> Scheduled Date Scheduled l ime <br /> ROu1C liou;e Seyucna� <br /> Comments <br /> Aetion Taken corrveier �s ir�cr+ cuHiastoP To �c�iNa�seTtEa wiii+r✓etrr:t�no aox i-��r to r;tiett <br /> PHOJLCT <br /> Recommended Action <br /> Approved By Rvc rtocou�Ni �'ai:c�r Job Cost In(ormation(1'iN) <br /> Start Date i i Time Dale Cempleted �vi2Ro�a__ Peirnit No <br /> Completed Hy Time Follovd Up7 <br />