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Work Activity Work Order `'a9n 1 <br /> ii/is!:o�a ii:33 <br /> ISSU2d By HLJ HUSBY,LANCE J. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued �oi2aizota <br /> Fund 4u� Account 5 Program Function Activity <br /> Program UT3473 s a <br /> Tdle CONVERT S INCH 1825 RUCKER AVE UT3473•5•3 <br /> V�'ork Order No 20143186 PfOfOCI Activity Type CORRECTNE IdAiNTENANCE Sf0IU5 CL <br /> Status �o2ai2o�a Time oa �Z Original WO Billing __ __ <br /> Customer Information <br /> Cus�omer Name Cuslomer ld <br /> F.idress Street <br /> �partment No City <br /> Siale Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 • Ext <br /> Second Phone ( 1 - Exl " --- - <br /> E-Mail Address <br /> Problem Informalion <br /> Address �gZs Street RUCKERAVE <br /> From Cro�s Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Dale Requesled � <br /> Agency Related ReGuest <br /> Initiated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimaled Hours <br /> Crew <br /> ConUaclor <br /> Assigned To <br /> Assigned Dy !� � c,; t� ^,� <br /> Assigned Date _ To Be Comp Date __ �y �� fli# �! p? <br /> Scheduled Date Scheduled Time <br /> Route Route SequPnce <br /> Comments <br /> Action Taken CONVERT.75 INCH C�RBSTOP TO.75 INCH SETTER WITH METER AND BOX.FLAT TO h1ETER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ Nuser,�o,Nce d Job Cosl Informalion(Y/N) <br /> Start Date � � Time Date Completed to�zenota Permit No <br /> Completed By Time Follow Up? <br />