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2111 RUCKER AVE 2016-01-01 MF Import
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2111 RUCKER AVE 2016-01-01 MF Import
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Last modified
3/8/2017 8:02:12 PM
Creation date
3/8/2017 8:02:05 PM
Metadata
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Template:
Address Document
Street Name
RUCKER AVE
Street Number
2111
Imported From Microfiche
Yes
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Work Activity Vlfork Order `'°'° <br /> �,;::;��:.; ._ _ <br /> ISS��� By HLJ HUSBY,LANCE J. <br /> Issued Depariment Pw PUBL�C WORKS <br /> Date Issued �m�6im�e <br /> Fund qot Account 5 Program Funchon Achvdy <br /> Program ur3a7� s a <br /> Title CONV[RT 75 INCH 2111 RUCKER AV�UT3473-5 3 <br /> WOfk OfdE?f NO 20143131 Pro�ect AChVdy TyPE CORRECTNE IJFWTENANCE $121U5 CL <br /> Status �on5 zc�a Time oa �5 Onginal VJ0 _Bilhng <br /> Customer Information <br /> Cuslomer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> Siate Z�P <br /> Subdivision Change Map Y/N <br /> Phone No 1 1 - Ext <br /> Second Phone I 1 • Ext -- <br /> E-Mail Address <br /> Problem Information <br /> Address Z»�� Streel RUCKERAVE <br /> From Cross 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 Eiy Date Requested <br /> Agency Related Request <br /> IniUated From <br /> Utility Locate(USA) No Called Date Expiration Dale <br /> Assignment Information <br /> Dept Pr�onty Estimaled Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned E3y �� •%-�;�� "•� C`=e .� (!��'; i;', <br /> Assigned Date __ To Be Comp Date _ , . <br /> Scheduled Date Scheduled Time <br /> Roule Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CUR65TOP TO JS INCH SETT[R WITH METER AND BOX.FLAT TO M[TER <br /> PRUJECT. <br /> Recammended Aclion <br /> Approved By HLJ HUSBY,LANCE J Job Cost Intormalion(YiNj <br /> Slart Date i i Time _ Da,e Completed �oizano�a Permit No <br /> Completed By Time Follo�v Up7 <br />
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