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Work Activity Work Order �a9e 1 <br /> �/io/zois :i:�i <br /> - -- - ---- -- -- -- - <br /> Issued Dy SJT2 SPOONER,JAMES T. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date issued 6I312015 <br /> Fund ao� Account s Program Funciion Aclivity <br /> PfOJf2fll UT3473 6 3 <br /> TifIB CONVERT.75 INCH 1025 LOMBARD AVE UT3473�6-3 <br /> WOfk �fd0f NO 20151261 PfOjECt Activity Type CORRECTIVE MAINTENANCE Sf2il1S CL <br /> Status si3not5 Time oe i3 Original WC_ Billinq <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No Ciry <br /> State Zip <br /> Subdivision Change Map YIN <br /> Phone No ( ) - Ext <br /> Second Phone ( ) - Ext -- -" -- <br /> E-Mail Address <br /> Probiem Information <br /> Address 10P5 Street LOMBARDAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTNER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiretion 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 1 „ � <br /> :f� 7 :1.:� .A� �'� N_,'� ;�i' t±?', <br /> Scheduled Date Scheduled Time <br /> Route Roule Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSTOP TO.75 INCH SETTER WITH METER AND BOX.FLAT TO METFR <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ HUSOY,..�NCE J. JOb COS� IflfOff1la110f1(Y/N) <br /> Start Oate i � Time Date Completed 6/312015 Permit No _ <br /> Completed By Time Follow Up? <br />