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Work Activity Work Order �'°` ' <br /> iz/�;coi, .i� is <br /> ISSU2d BY SJT2 ;;POONER,JAMES T. <br /> Issued Departmentaw PUBLICWORKS <br /> Date Issued �oi3o�zota <br /> Fund ao� Account s r'rogram Function Ac6vity <br /> Program UT3473 s s <br /> TIIIC CONVHRT.S INCH 1601 RUCKER AVE UT3473-5J <br /> Work Order No 20143256 PfOJECI Activity Type CORRECTIVE 1AAINTENANCE $l2ill5 CL <br /> Slatus �o��orzo�a Time �rt3 Original WO Billing _ __ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phane No ( ) - Ext <br /> Second Phone ( 1 • Ezt <br /> E-Mail Address <br /> Problem Information <br /> Address 1601 Streel RUCKERAVE <br /> From Cross Street <br /> To Cross Streel <br /> City ZiP <br /> Subdivision Map Book �J�ap Reference <br /> Problem WATER W/�TER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Indiated From <br /> Utiliry Locale (USA) No Called Date Expiralion Date <br /> Assignment Information <br /> Dept Priority EsUmated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned Oy <br /> Assi ned Date To Be Comp Dale _ __ ' - i - - F Y •-„ <br /> 9 — - - �� � �;:� �3rA ^ <br /> - . ,: « �(' ya,=,sW �`:�;, <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.S INCH CURBSTOP i0.751NCH SETTER WITH METER ANO BO%.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HW Husev,�nnr�ce� Job Cost Information(Y/N) <br /> Start Date i � Time Date Completed �vanota Permit No _ <br /> Compieted By Time Follow Up7 <br />