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Work Activity Work Order P�9� � <br /> �- ----� — —.—__ _ 3/5/20:5 8:53 <br /> Issued By SJT2 SPOONER,JAh1ES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued Z�oizots <br /> Fund aot Account s Program Function Activiry <br /> Program UT347J 5 a <br /> Tifle CONVERT JS INCH 2O18 RUCKER AVE UTJ173-5-3 <br /> WOfk OfdBf NO 20150390 PfOf2Ll Achvity Type CORRECTIVE 1.1AINT[NANCE SiBIUS CL <br /> Status v�orzo�s Time o935 Original W0_ _ Biliing <br /> Customcr Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment �o Ciry <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No 1 1 - Ext <br /> Second Phone ! ) - Ext -- _____ <br /> E-Ma�l Address <br /> Problem In(ormation — - -- - --- -- <br /> Address pp�g Street RUCKER AVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Referznce <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Dale Requested <br /> Agency Relaled Request <br /> IrnUated From <br /> Utihty Locate(USA) No Called Date Exp�ration Date <br /> Assignment Information <br /> Dept Prionty Fshmated liours <br /> Crew <br /> Coniractor <br /> Assigned To <br /> Assigned By <br /> Assigned Dale __ To Be Comp Date t �. trr 1 �A <br /> Schedided Date Scheduled Time f�������r 0 0..;v�+51;r,�{'^.. <br /> Route Route Sequence <br /> Co;nments <br /> Action Taken CONVERT.751NCH CURBSTOP 7'O.751NCH SETTER WITH METER AND BO%.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ HUS6Y, LANCE J JOb COSI IfifOfrt12110f1(Y/N) <br /> Start Date _ r � Time Date Compleled vienou Permit No <br /> Completed By Time Follow Up7 <br />