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VVork Activity Work Order Pa9� 1 <br /> ��io�zois ii : ia <br /> ISSUBd BY SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORICS <br /> Date Issued ei��zo�s <br /> Fund aot Account s Program Function Activity <br /> Program UT3473 6 3 <br /> TiIl2 CONVERT.751NCH 1020 LOMBARD AVE UT3473-6-3 <br /> WOfk Ofd2f NO 20151269 PfOJECt Aciivity Type CORRECTIVE MAINTENANCE Sf8tU5 CL <br /> Status _ ei3r2oi[� _ Time i3oa Original WO __ _ Billing _ _ _ __ __ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Streei <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No � > • Ext <br /> Ser,ond Phone ( 1 • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address �0zp Street LOMBARDAVE <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <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 Loca!e (USA) No Calied Date Expiralion Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> P.ssigned To <br /> Assigned By (�:('��� �'i ��`� � <br /> A;signed Date To Be Comp Date ___ `' "' � ` � Y '� <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSTOP TO.75 INCH SETTER WITH METER AND BOX. FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By ti�J Husev, �nnlce� Job Cost Information(Y/N) <br /> StaR Date � r Time Date Completed s�arzo�s Permit No <br /> Completed By Time Follow Up? <br />