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Work Activity Work Order `�" � <br /> _ _ _ �� - <br /> ISSUE'd BY SJT2 SPOONER,JAMEST. <br /> Issued Depariment aw PUBLIC WORKS <br /> Date Issued ti�anou <br /> Fund ao� Account s Program Function Activ�ry <br /> Prooram uraara 5 3 <br /> TlilE: CONVERT i51NCH 1732 RUCKER AVE UT3473•.`-1 <br /> WO:'k�tdBt NO 201503T4 PfOJ2Cf Activity Type CORRECTIVE MAINTENANCE Sf2iU5 CL <br /> Status �torzo�5 Time o6a3 Original WO ___ Biliing _ __ <br /> Customer Information <br /> Customer Name Cuslomer ld <br /> Address Slreet <br /> Apartment No City <br /> State Z'P <br /> Subdivision Change Map Y/N <br /> Phone No � 1 - Ext <br /> Second Phone � 1 • Ext — <br /> E-Idail Address __ _ <br /> Problem Information <br /> Address 173P Street RUCKERAVE <br /> From Cross Street <br /> To Cross Street <br /> City ' Z'p <br /> Subdiwsion I�lap E3ook �v1ap Reference <br /> Problem WATER WATER <br /> Sub Prohlem OTHER OTHER <br /> Requested By Date Requesled <br /> Agency Related Request <br /> Initiated From <br /> Uhlity Locate(US�) No Called Date Expirahon Dale <br /> Assignment Inforination <br /> ��P� Pnonty Fstimated f lours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By l o Be Camp Date � � <br /> Assigned Date _ ;j������'( ��� � <br /> Scheduled Date Scheduled Time _. <br /> Route Roule Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP T0.751NCH SETTER WITH METER AND BOX. FLAT TO METER <br /> PROJ[CT. <br /> Recommended Action <br /> Approved By Hld HUSt3Y.�nNCe�. Job Cost Information(Y/N) <br /> — — — <br /> Start Date � � Time __ _ Date Completed znvzo�s Permit No _ <br /> Completed Qy Time Follow Up� <br />