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Work Activity Work Order `��e ' <br /> 3;s�zois 9:tz <br /> ISSUed By SJTY SPOONER,JAMES T.� <br /> Issued Departmer�l Pw PUBLIC WORKS <br /> Date Issued v�a�zo�s <br /> Fund 4oi Account 5 Program function Activity <br /> Program UT3477 s a <br /> Title CONV[RT 751NCH 1 i28 RUCKER AVE UT�473-SJ <br /> WOfk Of(1Qf NO 20150373 PfOJC'Ci Actrvity Type CORRECTIVE 1dAINTENANCE Si8tU5 CL <br /> Status z��o�zou Time c5ei Origlnai WO Billing ______ _ ___ _ <br /> Y -_ -___-__ _ . _"_ __ _. _ __-_____ --_ <br /> Customer Informalion <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No CiN <br /> State Z�P <br /> Subdiv�swn Change Map Y/N <br /> Phone No � � • Ext <br /> Second Phone c 1 - Exl — - <br /> E-tvlail Address <br /> _ — ---- <br /> Problem Information <br /> Address 1728 $ireet RUCKER AVE <br /> From Cross Street <br /> To Cross Street <br /> Ciry ZiP <br /> Subdiwsion Map Book tilap Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> In�liated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment In(ormation <br /> Dept Prioriry Eslimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned Dy <br /> �ssigned Date ___ _ To Be Comp Date - � - i� <br /> Scheduled Da�e Scheduled Time '����� r� ���� <br /> Route Roule Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP T0.751NCH SETTER WITH METER AND BO%.FLAT TG METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ HUSBV,LANCE J Job Cost Information(Y/N) <br /> Slart Date i � Time Date Completed viv2ois Permil No <br /> Completed �y Time Follow Up9 <br />