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Work Acti�✓ity Work Order 'a�e 1 <br /> �2i�i�o�4 ��:�, <br /> ISSUEd By SJT2 SPOONER,JAMES T. <br /> Issued Department aw PUBLIC WORKS <br /> Date issued �oiaoizo�a <br /> Fund ao� Account s Program Function Activity <br /> Program UT3473 s 3 <br /> Title CONVERi JS INCH 1617 RUCKER AVE UT3a735-3 <br /> WOfk OfdOf NO 20143250 PfOj2Ct Activity Type CORRECTIVE MAINTENANCE SfBtUS CL <br /> Status imsorzo�a Time �o3s OriginalWO Billing _. <br /> Cus[omer Information <br /> Customer Name Cuslomer ld <br /> Address Streel <br /> Apartment No ���9 <br /> State Z�P <br /> Subdiv�sior Change Map Y/N <br /> Phone No ( ) - Ext � __ ___ _ <br /> Second Phone l ) • Ext <br /> E-Mail Address _ --_—---- <br /> Problem Information <br /> Address �6�7 Slreet RUCKERAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requesied <br /> Related Requesl <br /> Agency <br /> Initiated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Es�imaled Hours <br /> C rew <br /> Contractor <br /> Assigned To <br /> Assigned By fi€3 ; �!_ :,a, � •- <br /> Assigned Dale __ To Be Comp Date _ � ' � e" S 9,�. ,,G�::� ,K�4;� <br /> Scheduled Dale _ _ Scheduled Time _ ____ <br /> Route Roule Sequence <br /> Comments <br /> Action Taken CONVERT.i5 INCH CURBSTOP TO.751NCH SETTER WITH METER AND BOX.Fl.l�T TO h7ETER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HW NUSBV,LANCE J. .IOb COS� If1(OffT12110f1(�(IN) <br /> Start Oate i i Time Date Completed �vsno�a _ Permit No <br /> Completed By Time Follow Up� <br />