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Work Activity Work Order '��` ` <br /> ..�'.�:�Lnl•i jll:ili <br /> ISSUed BV HLJ HUSBY,LANCE J. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued weno�a <br /> Fund qo� Account s Program Function Acliwty <br /> Program ur3a�a s � <br /> TiIi2 CONVERT]51NCH 1417 RUCKER AVE UT3473-5�3 <br /> Work Order No 20143300 Pro�ect Actiwty Type CORRECTIVE�dAINTENANCE 5(21U5 CL <br /> Status >>;eizo�a Time oe ia Original WO _ Billing _ __ _ ________ ___ <br /> Customer Information <br /> Cuslomer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> Stat=_ Z�P <br /> Subdivision Change fdap YIN <br /> Phone No t ) • Ext _ ___ <br /> Second Phone ( ) - Exi <br /> E-Mai1 Address ______ — — <br /> Problem Iniormation <br /> Address 1417 Street RUi.KERAVE <br /> From Cross Street <br /> To Cross Street <br /> Ciry Z'p <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> RPquested By Date Requesled <br /> Agency Related Request <br /> Initiated From <br /> Utility locate(USA) No Called Dale Fxpiration Date <br /> Assignmcnt Information <br /> Depl Pnonty Fshm.atcd Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Ass�gned E3y <br /> To Be Comp Dal^ <br /> Assigned Date —_ C.,'� � .;,;:? �d� ��'6�?i:r. ;. <br /> Scheduled Dale Scheduled Time _ ___ <br /> Roule Route Sequence <br /> Comments <br /> Action Taken CONVER"(.751NCH CURBSTOP TO.751NCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By rtVc rtooDznNr,vnNCe C. Job Cosl Information(YIN) _ <br /> Start Date � i Time Date Compleled �veizo�a Permit No _ <br /> Completed By Time Follo�v Up� <br />