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Work Activity Work Order Pag` 1 <br /> ii/i3/zoia i� ::�a <br /> ISSUed By� HLJ HUSBY,LANCE J. <br /> ISSUEd �P.partment Pw PUBLIC WORKS <br /> Date Issued 7 012412 0 7 4 <br /> Fund aoi Account s Program Function Actiwty <br /> Program UT3C7J 5 3 <br /> TitiB CONVERT]S INCH 1801 RUCKER AVE UT3473-5-3 <br /> Work Order No 20�43�9� Pro�ect Activity Type CORRECTIVE htAINTENANCE $121115 CL <br /> Status to�zanou Time ca za Original WO_ _ _ ____ Billing <br /> Customer Irformation <br /> Cusiomer Name Cusiomer ld <br /> Address Slreet <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 • Ext <br /> Second Phone ( l - Ext <br /> E-Maii Address <br /> Problem Information <br /> Address �gp� Streei RUCKERAVE <br /> From Cross Street <br /> To Cross Streei <br /> City Zip <br /> Subdivision Map Eiook Map Reference <br /> Problem WATER WATER <br /> Sub Problem O'fHER OTHFR <br /> Requesled By Date Requested <br /> Agency Related Request <br /> Initialed From <br /> Utihry Loca�e (USA) No Called Dale Explration Date <br /> Assignment Information <br /> Dept Priority Eslimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned Oy <br /> Assigned Date --- To E3e Comp Date __ :t;�� '- - ,. �n� �- <br /> '�'� i!':� � �_,R� c, ..t <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT 751NCH CURBS70P TO J514CH SETTER WITH MLTER AND�OX.FLAT TO A7ETC-R <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ Nusev,�Ncr:� Job Cost Informahon(Y/N) <br /> Start Date i � Time Date Completed ioreerzoia Permil No <br /> Comp,eted By - -- Time Follov+Up� . <br />