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Work Activity Work Order `''�' � <br /> �rs!:�_s s: ,s <br /> – --- — – -- _ . <br /> ISSU2d By SJT2 SPOONER,JAMES T. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued zna�2o�s <br /> Fund ao� Accounis Program Funchon Achviry <br /> Program uT�an s � <br /> Tit10 CONVERT 75 iNCH 2202 RUCKER AVE UT3ai3�5�3 <br /> Work Order No 20150393 PfOJOCI Actrvity Type CORRECTIVE t.1AWTENANCE $IalUS CL <br /> Status znonois Time o9 da___Origin3l WO_ _ __ ___ B_Iling_ _ __ _ <br /> Customcr In(ormation <br /> Customer Name Cusromer ld <br /> Address Street <br /> Apartment No C��Y <br /> Siate Z'p <br /> Subdwision Change Map Y/N <br /> Phone No � 1 - Ext <br /> Second Phone � 1 - Ext <br /> E-�dail Address __ <br /> Problem Information <br /> Address ZzpZ Street RUCKER AVE <br /> From Cross Sireet <br /> To Cross Street <br /> Ciry Zip <br /> Subdrvision ylap f3ook Map Re(ercnce <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Ut�hty Locale(USA) No Called Date Ezpiration Date <br /> Assignmenl Information <br /> ��P� Prionty cst�ma!ed tiours <br /> Crew <br /> Conlractor <br /> Assigned To <br /> Assigned By To Be Com Date ,���i� A 7u <br /> Assigned Date _ � _—.-- ��0 p„;�vg���• <br /> Scheduled Dale Scheduled Time ____ <br /> Roule Route Sequence <br /> Comments <br /> Action Taken CONVER?751NCH':JRBSTOP T0 751NCH SETTER WITH tdETER AND BO%.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ HUSBY,LANCE J Job Cost Information(Y/N) <br /> Slart Date i i Time Date Compleled vtenoes____ Permd No __ _ <br /> Completed By Time Follow Up? <br />