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Work Activity Work Order ��73r : <br /> — _ _ -- - — _. <br /> ���.. :�_ ,, <br /> Issued By SJT2 SPOONER,JAtA[S T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued v9i2o�s <br /> Fund aot Account s Program Funcbon Aclrvity <br /> Program uT3a7a s a <br /> TitlE± CONVERT 751NCH 1508 RUCKER AVE UT3a73�5�3 <br /> Work Order No 20150350 PfOj2CI Activiry Type CORRECTIVE IJNNTENANCE SlOIUS Cl <br /> Status u��zois Time c5n Origmal WO _ __ _ Billing_ _ ___ _ _ <br /> Customer Information <br /> Customer Name Cuslomer ld <br /> Address Sireet <br /> Apartment No ��ty <br /> State Z�P <br /> Subdivision Change Map Y1N <br /> Phone No 1 1 - Ext <br /> Second Phone � 1 • Ext -- <br /> E-Ma�l Address <br /> Problem In(ormation <br /> Address 1508 Slreet RUCKER AVE <br /> From Cross Street <br /> To Cross Street <br /> City ziP <br /> Subdrcision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OrHER OTHER <br /> Requested By Date Requested <br /> Agency Relaled Request <br /> Initiated From <br /> UUI�ty Locale(USA) No Called Date Expiration Date <br /> Assignment Informz!ion <br /> Dept Pnonty Eslnnated Hours <br /> Ciew <br /> Contractor <br /> 1155i�necl To <br /> l�ssigned By <br /> Assigned Dale To Be Comp Date <br /> Scheouled Date Scheduled Time <br /> Roule Route Sequence <br /> Comments <br /> Action Taken CONVERT JS INCH CUR�STOP TO.751NCH�[TT@R WITM h^ETER ANU��1X.FLAT TO M[TER <br /> PROJECT. <br /> Recommended Action <br /> Approved By H�� HUS�V IhNCE J Job Cost Information(Y/N) <br /> StaR�ate i � Time Date Completed zr9�zot5 _ Permit No <br /> Con;pleted By Time Foilow Up? <br />