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Work Activity Work Order Page � <br /> ��io�zois ii: is <br /> ISSUed By SJT2 SPOONER,JAMES T. <br /> Issued Departmentaw FUBLICWORKS <br /> Date Issued snno�s <br /> Fund aoi Account 5 Program Function Activity <br /> Program uraa�a 6 3 <br /> Title CONVERT]5 INCH 1014 LOMBARD AVE UT3473 fi-3 <br /> Work Order No z��5�Z68 f fOJ2Ct Activity Type CORRECTIVE M1IAINTENANCE S�afUS CL <br /> Status si3�zois Time �3oo OriginalWO Billing <br /> Customer Intormation <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( ) - Ext ---- — <br /> E-Mail Address <br /> Problem Informatiun <br /> Address �014 Street LOMBARD AVE <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 By Date Req�ested <br /> Agency Related Request <br /> Initiated From <br /> Utiliry Locale (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date ___ To Be Comp Date __ _ i .� ... q� �y, <br /> Scheduled Date Scheduled Time •��'�a�'���� ��7�1 �'•`!'� <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CUR6STOP TO .75 INCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ HUS�Y, LANCE J. JOb COS( IflfOffila(IOh(Y/N) <br /> Start Date � i Time Date Completed 6I4I2015 Permit No <br /> Completed By Tiine Follow Up? <br />