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Work Activity Work Order �,�° 1 <br /> ::�_3�:0:; :� �- <br /> Issued By HLJ HUSBY,LANCE J <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 1012412014 <br /> Fund aat Account 5 Program Function Actrvity <br /> Program UT347J 5 3 <br /> Ti11G CONVERT]S INCH 1721 RUCKER AVE UT3473�5�3 <br /> Work Order No 20143194 PfOJECI Act�vity Type COHHECTIVF tdAINTENANCE $lBIUS i:L <br /> Slalus �orzaizoia Time oe 3� Original WO _ __Billing _ _ _ <br /> Customer Information <br /> Cuslomer Name Customer ld <br /> Address Street <br /> Apartmenl No City <br /> State Zip <br /> Subdivision Change Map Y1N <br /> Phono No ( � • Ext <br /> Second Phone ( 1 - EM <br /> E-Mail Address <br /> Problem Information <br /> Address 17Z� Street RUCKERAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision �1ap Book Map Refcrence <br /> Problem WATER WATE:R <br /> Sub Problem OTHER OTHE:R <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated F�om <br /> Utility locate (USA) No Calied Date Expiration Date <br /> .4ssignment Information <br /> Dept Pnonty Fshmated Hours <br /> Crew <br /> Coniractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date __ To De Comp Date ;�� ;- : , ,.,; i���� �A �i� ti; 4l� <br /> Scheduled Date Scheduled Time <br /> Roule Route Sequence <br /> Comments <br /> Action Taken CONVERT]5 INCH CURBSTOP T0.751NCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By NLJ Nussv,t,�NCE� Job Cosl Iniormahon(YiN) <br /> Start Dale i � Time Date Completed �maono�a _ Penn�t No <br /> Campleted �y Time Follow Up7 <br />