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Work Activity Work Order ��5� � <br /> ii/i3/zoi4 i3:;a <br /> ISSIIBd By HLJ HUSBY,LANCE J. <br /> Issued Department aw pUBLIC WORKS <br /> Date Issued 10116/2014 <br /> Fund 40� Account s Program Function Activity <br /> Program uTaa�a s a <br /> Tllle CONVERT.S I�ICH 1915 RUCKER AVE UTJ473�5�3 <br /> Work Order No 20143141 PfOfBCI Activity Type CORRECTIVE idAINTENANCE S�efUS CL <br /> Status ior+.er7o�a Time o9 03 Original WO Billing <br /> Customer Information <br /> Cuslomer Name Customer ld <br /> Address Stree. <br /> Apartment No City <br /> Slate Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) • Ext <br /> Second Phone ( i • Ext — -- -- ---- <br /> E-Mail Address <br /> Problem Information — <br /> Address �915 Street RUCKER AVE <br /> From Cross Street <br /> To Cross SUeet <br /> City Zip <br /> Subdivision Map Dook Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested Dy Dale Requested <br /> Agency Related Request <br /> Indiated From <br /> Uliliry Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Depl Priority Eslimated Hours <br /> Creva <br /> Conlraclor <br /> Assigned To <br /> Assianed By � <br /> Assigned Date To Be Comp Date _ ��' ���%:I ��:'��` ;� ��5� <br /> Scheduled Dale Scheduled Time <br /> Route Roule Sequence <br /> Comments <br /> Action Taken CONV[RT.S INCH CURBSTOP TO.751NCH SETTER WITH METER AND BOX. FLAT TO METER <br /> PROJECi. <br /> Recommended Action <br /> Approved By Fp� FisrteR, oosev�. Job Cost Intormation(Y/N) <br /> Start Date _ i i_ Time _____ Date Completed tmzanoio Permil No <br /> Completed By Time Foilow Up? <br />