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Work Activity Work Order �u9° 1 <br /> --- -- — — ----- — -- – - <br /> 9ia�i���s �.,::5 <br /> 1SSUEd BY CSG CAVANAH,SHANE G. <br /> Issued De�artment Pw PUBLIC WORKS <br /> Date Issued ��uizois <br /> Fund ao� Account s Program 7io Functicn >>9 Actiwty en <br /> Program <br /> I itl2 REPLf�CE FIRE HVORANT 1501 RUCKER AVE 710119677 <br /> Work Order No Z��5�6�8 PfOf2Cl Activiry Type COFRECTNE MAINTENANCE $tBtUS CL <br /> $f0fU5 7114i2015 Tirt10 15 58 Of19R181 WO 20150B95 81111f19 _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Streei <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change "dap Y/N <br /> Phone No � � - Ext <br /> Second Phone l 1 - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address �Sp� Street RUCKER AVE <br /> From Cross Street <br /> Ta Cross Street <br />� �iry Zip <br /> Subdwision Map Book Map Re(erence <br /> Probiem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utiliry Locate (USf,) No Called Date Expiralion Date <br /> Assignment Information <br /> Dept Pnonty Estimated Hours <br /> Crew <br /> Contracror <br /> Assigned To <br /> �ssigned By <br /> Assigned Date _ To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPLACED FIRE fiVDRANT, 2015 MUELLER,3.5'BURY,MJ 77PSI <br /> Recommended Action <br /> Approved By RJP RAPELYEA, JASON P Job Cost Information(Y/N) <br /> Start Date � r Time Date Completed ms�sots__ ___ Permit No _ <br /> Completed By _ Time _ Follow Up7 ___ _ <br />