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Work Activity Work Order �'��� = <br /> ,�,;�:�:s , , <br /> - -- --- -- - -- - --- - ----- — - - <br /> i55u2d By SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued ti9rzo�e <br /> Fund to7 Account 5 Program Function AcUvity <br /> Program UTSd73 s a <br /> TiU2 CONVERT 75 iNCH 1510 RUCKER AV[UT3473-5�3 <br /> Work Order No 20150351 Project Pctiwty Type CORRECTIV[ISAINTENANCE Status c� <br /> StBtuS 2�9i20t5 Time G629 Original WO _ _ &Iling _ __ __ <br /> Customer Information <br /> Customer Name Customer ld <br /> Aadress Street <br /> Apartment No City <br /> State Z�P <br /> Subd�vision Change Map Y/N <br /> Phone No l 1 • Exl <br /> Second Phone ( l • Ext — <br /> E-t�4ail Addre;s <br /> Problem Information <br /> Address �g�p Street RUCKERAVE <br /> Frcm Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdiws�on Map Book Map Reference <br /> Problem WATER WATER <br /> �ub Problem OTHER OTNER <br /> RequesledE3y Date Requested <br /> Aqency Related Request <br /> Inil�ated From <br /> litility Locate(USA) No Called Dale Expiration Date <br /> Assignment Information <br /> Dept Priority [stimated Flours <br /> Cretiv <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Cornp Date _ <br /> Scheduled Datc Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT ]S INCH CURBSTOP T0.751NCH SETTER WITH M17ETER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved �y HLJ HUSBY, IANCE J Job Cost Information(1'IN) <br /> Start Oate i r Time Date Compleled z�srzo�s Permit No <br /> Completed By Time Follow Up? <br />