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Work Activity Work Order Pa9e 1 <br /> ��io�zois ii:zo <br /> ISSU2d BY SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 613/2015 <br /> Fund aot Account s Program Function Activity <br /> Program UT3473 s a <br /> Tifl� CONVERT .75 INCfi 1075 LOMBARD AVE UT3473�6�3 <br /> Work Order No 20151262 PfOJP.Cf Activity Type COR1'F.CTIVE MAINTEN�NCE St2�U5 CL <br /> Status 6/3/2015 Time o5 i5 Original WO _ Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( 1 - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address �p�5 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 Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate(USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contraclor <br /> Assigned To <br /> Assigned By <br /> Assigned Oate __ To Be Como Date _ �.... . .y <br /> ;C�.� : �-a.� b! �� �_. `� '" `t?: <br /> Scheduled Date Scheduled Time ___ � <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSTOP T0.75 INCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ HUSev.iANce�. Job Costlnformation(Y/N) <br /> Start Date i � Time Date Completed 6/312015 Permit No <br /> Completed By Time Follow Up7 <br />