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Work Activity Work nrder �a`° 1 <br /> iz/z/zoia ii:os <br /> ISSU2d By HU HUSBY,LANCE J. <br /> Issued DepartmentPw PUBLIClY0RK5 <br /> Date Issued nranoia <br /> Fund ao� Accounl s Program Function Activlry <br /> Program UT3473 5 � <br /> TIllB CONVERT JS INCH 1521 RUCKER hVE UT3C73-53 <br /> WOfk Ofd2f NO 20143285 PfOJBCI Activity Type CORRECTIVE tJAMTENANCE $t8fU5 CL <br /> StaWs �varzo�a Time os 5z Origmal WO Billing _ ____ _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Slreet <br /> Apartment No Ciry <br /> State Z'P <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 • Exl <br /> Second Phone 1 1 • Ext —�- <br /> E-Mail Address <br /> Problem Information <br /> Address �Sp� Street RUCKER AVE <br /> From Cross Streel <br /> To Cross Street <br /> City ZiP <br /> Subdivision Map Book Map Reference <br /> Prob�ern WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Relaled Request <br /> Initiated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Eslimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date _ To Be Comp Dale __ a�.` w ^, ;' �� +_ � `� <br /> Scheduled Date <br /> Scheduled Ti�ne � � ` �~ ` " � ' <br /> Route Roule Sequencr_ <br /> Comments <br /> Action Taken CONVERT.i51NCH CURBSTOP T0.75 MCH 5[T 1ER PJITH METLR AND OOX.FI!.i lO C,[TER <br /> PROJECT. <br /> Recommended Action <br /> Appro�ed By HLJ Husav, tl+Nce� Job Costlnformation�YlN) <br /> S[art Dale � i Time _ Date Completed nisizo�a ___ Permit No _ <br /> Compleled By � Time Follow Up? <br />