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Work Activity Work Order <br />Page 1 <br />��ZZ�Z�15 15:1� <br />ISSIIC(I BY SJT2 SPOONER, JAMES T. <br />Issued DepartmentPw PUBLICWORKS <br />Datelssued tnsno�� <br />Fund eot Account s Program Function Activity <br />Program u7x7a 5 s <br />Title CONVERT.751NCH907RUCKERAVEUT3473•5-3 <br />WO�f( D�d2f NO Z��5��8� Project Activiry Type CORRECTIVE MAINTENANCE <br />Status tnsno�5 Time oe:42 Original WO Billing __ <br />Customer Information <br />Customer Name <br />Address <br />ApartmentNo <br />State <br />Subdivision <br />Phone No l 1 <br />Second Phone ( � <br />E-Mail Address <br />Problem Information <br />Address 901 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Street <br />Ciry <br />Zip <br />Ext <br />Ext <br />Street R%JCKER AVE <br />Problem WATER WATER <br />Sub Problem OTHER OTHER <br />Requested By <br />Agency <br />Initiated From <br />Utility Locate (USA) No <br />Assignment Information <br />Dept <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Date _ <br />Scheduled Date <br />Route <br />Comments <br />Map Book <br />Called Date <br />To Be Comp Date <br />Scheduled Time <br />Route Sequence <br />Customer ld <br />Change Map Y-N <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Oate <br />Priority Estimated Hours <br />Status c� <br />����'�������� <br />Action Taken CONVERT .751NCH CURBSTOP TO .751NCH SETTER WITH ME7ER AND BOX. FLAT TO METER <br />PROJECT. <br />Recommended Ar.tion <br />APPfOV�d By HLJ HUSBY,LANCEJ. <br />Start Date � � <br />Completed By <br />Job Costlnformation(Y!N) <br />Time Date Completed 112612015 Pertnit No <br />Time Follow Up? <br />