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Work Activity Work Order `"` ` <br /> „i��_o:s i; .0 <br /> ISSUEdBj� SJT2 SPOONER,JAM1IEST. <br /> Issued DepartmentrW PUBLICWORK$ <br /> Date Issued Z�onois <br /> Fund aot Accounts Program Function Achviry <br /> Prooram ur�a�a s a <br /> T�de COYVERT 751NCH 2A16 RUCKER AVE UT3473-5-3 <br /> WO�k Ofd@f NO 20150394 P�OJECI Act�v�ty Type CORRECTNF LIAINTENANCE $f0It15 CL <br /> Slatus z�io�zois 1�meo�<5 OriqmalVJO _ 9�il�ng _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Aoartment No C��Y <br /> State Z�P <br /> Subdiws�on Change Map YiN <br /> Phone No l � � Ext <br /> Second Phone 1 1 • Ext — <br /> [-Mail Address <br /> Problem Information <br /> AdCress Za�6 Street RUCKERAVE <br /> From Cross Streel <br /> 1 o Cross Street <br /> City -- Zip <br /> Subdwision Map Book Map Reference <br /> F�reblem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Ind�aled f=rom <br /> Uhhty Locate (USr�) No Calted Date Expuation Date <br /> Assignment Information <br /> Dept Pnonty Fslintaled Hours <br /> i;rew <br /> Contraclor <br /> �ssigned To <br /> Ass�gned By <br /> Assigned Date lb [3c Cornp Date y���,ri���I �� �� <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75INCH CURBSTOP TO ]S INCFi SETTER WITH METER AP:D BO%.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ Husov, �nnr�ce� Job Cost Information(YIN) <br /> Start Date i � Time Date Compleled znoizo�s _ Permit No <br /> Compleled dy Time Follo:a Up� <br />