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Work Activity Work Order °��` ' <br /> 3/s;:c:s �� sc <br /> 155�2d BY SJT2 SPOONER,JAMES T. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued 2�5na�s <br /> Fund aot Accounl s Program Funchcn Actiwty <br /> Program UT3477 5 a <br /> TiIIC CONVERT 751NCN 1610 RUCKER�VE UT3ai3-5�3 <br /> Work Order No 20150357 Pro�ect Actiwty Type CORRECTIVE tdA�NTGNANCE Stalus c� <br /> Status a�QnoiS Time o5a3 Original WO Billing _ ____ _ __ <br /> Customer Information <br /> Cusromer Name Customer ld <br /> Address Slreet <br /> Apartment Nc Ciry <br /> State Z'P <br /> Subdrvision Change Map Y/N <br /> Phone No � � • Ext <br /> Second Phone t 1 - Ext <br /> E-Mad Address _____ _ <br /> Problem Information <br /> Address �6�p Street RUCKERAVE <br /> From Cross Street <br /> To Cross Street <br /> City Z'P <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested dy �ate Requested <br /> Agency Related Request <br /> Indiated From <br /> Utaity Locate (USA) No Cailed Dale ExpiraUon Date <br /> Assignment Information <br /> Dept Pnonty EsLmated Hours <br /> Crew <br /> Conlractor <br /> Assigned To <br /> 3 Y � 1 <br /> Ass�� ned B To Be Com Date �(�'��'��� ')��' o� <br /> Ass�yned Date � - . - �+� >s e:,'. <br /> Scheduled Dale _,_ __ __ Scheduled Time <br /> Route Roule Sequence <br /> Comments <br /> ACUOfI T0kC11 CONVERT J51NCH CURBSTOP T0.751NCH SETI-ER WITH METER AND[30X.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ HUSE3Y,LANCE J JOb COSt Ifl(O�fT18hOf1(Y/N) <br /> — - — — <br /> -- - <br /> Start Date � � Time Date Compteled z�9iaots Permrt No <br /> — --- --- — <br /> - ——.. <br /> Completed By Time Fallow Up� <br />