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Work Activity Work Order `''`° ' <br /> - ::o�s ?:a; <br /> ISSUE?d By �SJT2 SPOONER,JANIES T. <br /> Issued Departmen[Pw PUBLICWORKS <br /> Date Issued v5noi5 <br /> Fund aai Account s Program Function AcUvity <br /> Program uraa7l s a <br /> TdlO CONVERT .751NCH 1630 RUCKER AVE UT3�i}5�3 <br /> Work Order No 20150361 Pro�ect Activity Type cortHecnve rdA1NTENANCE Slalus a <br /> Status v9rzOt5 Time 065z Original WO Bdling _ __ __ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change �dap YrN <br /> Phone No ( ) - Ext <br /> Second Phane ( ) • Ext — — <br /> E-MadAddress __ _ <br /> Problem Information <br /> Address 1630 Street RUCKER AVE <br /> From Cross Slreet <br /> To Crogs Street <br /> City Z'P <br /> Subdivision Map Book Map Relzrence <br /> Piobtem WATER WATER <br /> Sub Problem O7HER OTHER <br /> Requesled By Date Requested <br /> Agency Reia;ed Request <br /> Init�aled From <br /> Uttlity Locate(USA) No Called Dale Expiralion Dale <br /> Assignment Information <br /> Dept Pnority Eshmaled Hours <br /> Crev+ <br /> CoMractor <br /> Assigned To <br /> Assigned By �+���,�.�y �y y� <br /> Assigned Date ___ _ To De Comp Dale i�r� �a���`r <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP 70.751NCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ HUSBY, LANCE J Job Cost Information(YIN) _ <br /> Start Date � r Time ___ __ Date Completed titmzots Permit No _ <br /> Compleled By Time Follow Up? <br />