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Work Activity Work Order <br />ISSUed By SJT2 � SPOONER. JAMES T. <br />Is;�ed DepartmentPw PUBLIC WORKS <br />Date Issued v�srzois <br />Fund aoi Accounis Program <br />Program uraat� 5 1 <br />TI(IB CONVERT 751NCH B2fi RUCKER AVE UT34i3-5�7 <br />Work Order No 20150208 Pro�ect <br />Status vic,zois Time �ooe OriginalWO <br />Customer information <br />Cusromer Name <br />Address <br />Apartment No <br />State <br />Subdivision <br />Phone No ( 1 <br />Second Phone ( � <br />E-Mail Address <br />Problem Information <br />Acidress 8P6 <br />From Cross Street <br />To Cross Street <br />Ciry <br />Su�division <br />Street <br />City <br />Zip <br />Ext <br />Ext <br />Street RUCKERAVE <br />Prob�em WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By <br />Agency <br />Indiated Fro^i <br />Uhtity Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Con�raclor <br />Assgned To <br />Assigned 6y <br />Assigned Date <br />Scheduled Date <br />Route <br />Comments <br />Funct�on <br />._._ _.,.- _: 5� <br />Activiy <br />Aclivity Type CORRLCTIV[ �dAWTENANCE SI21U5 CL <br />Biliing <br />hlap Book <br />Called Date <br />lo Be Comp Date <br />Scheduled Tune <br />Route Sequence <br />CuStomer ld <br />Change Map Y/N <br />Z�p <br />tvtap Reference <br />Date Requesfed <br />Related Requesl <br />Expiration Date <br />Prionty <br />Fst�mated Hours <br />:ti�.,r�� <br />� �P�I�.��';r� <br />Action Taken CONVERT.751NCH CUR85TOP T0.751NCN SETTER WITH MET[R AND BOX. FLA� TO h1[TER <br />PROJECT. <br />Recommended Action <br />Approved [3v HLJ HUSBV. LANC[ J Job Cost Informalion(Y/N) <br />Start Date i � Time Date Compleled vzsizo�s �'ermrt No <br />Completed Dy Time Follow Up? <br />