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Work Activity Work Order Fa`r ' <br /> ��i�3iza�a ��:�9 <br /> ISSU2d BY HLJ HUSBY,LANCE.1. <br /> Issued DepartmentPw PUBLICWORKS <br /> Da!e Issued �onaizo�a <br /> Fund ao1 Account 5 Program Function Activity <br /> Proaram UT3473 s a <br /> Title CONVERT.751NCH tB15 RUCKER AVE UT3473�5�3 <br /> Work Order No 20143188 PfOjOC� Activity Type CORRECTIV[IdAINTENANCE $f01U5 CL <br /> Status 10r24/2014 Time oe i� _ Original W0 _Billing __ ______ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Slreei <br /> Apartment No City <br /> Stale Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) • Ext <br /> Second Phone ( ) � Ext -- <br /> E-Mail Address <br /> Problem Information <br /> Address �g�g Streel RUCKERAVE <br /> From Cro>s Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Probiem WATER WATER <br /> Sub Problem OTNER OTHER <br /> Requested By Date Requested <br /> Agency Relalad Requesl <br /> Initiated Fron <br /> Utility locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Prionty Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To �, �, <br /> Assigned By �:;)+ t�, .,a ti�;;;,n ;i_ y•, :• i�-; <br /> Assigned Date __.__ To Be Comp Date _ � � <br /> Scheduled Date Scheduled Time _ <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSTOP TO.75 I4CH SETTER WITIi METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ iiusav,�.Nce�. Job Cosl Iniormalion(YIN) <br /> Start Date i i Time Date Compleled �o�zeizo�a Permit No <br /> Completed By Time Follow Up? <br />