Laserfiche WebLink
�age i <br /> Work Activity or r er <br /> �/�o/zo�s ii: ia <br /> ISSUP�J BY S�TZ SPOONER,JAMES T. <br /> Issi.ed �epartmentPw PUBLICWORKS <br /> Da�e Issued eianots <br /> Fund aot Account 5 Program Function Aclivity <br /> Program UT9473 6 3 <br /> Tifle CONVERT.75 iNCH 7026 LOMBARO AVE UT3473-G-3 <br /> WO�k O�def NO Z��5�2�0 Project Activiry Type CORRECTI'JE AtAINTENANCE St8fU5 CL <br /> Sf2tU5 6l3/2015 TIfTIE 1307 OC19if181 WO BIIIIf19 _ ___ _ __ _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Add�ess Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YiN <br /> Phone No � 1 - Ext <br /> Second Phone ( � - Ext — <br /> E-Mail Address <br /> Problem Information <br /> Address �pp5 Street LOMBARDAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATcR <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Iniliated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To E�4'�;yN ;,y, r' p ���' <br /> Assigned By � 4,����� en I�..a._: <br /> Assigned Date __ To Be Comp Date <br /> Scheduled Date Scheduled Time _ <br /> Route Route Sequence <br /> Comments <br /> ACt1011 TBkCf�� CONVERT 75 INCH CURBSTOP TO 75 INCH SETfER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ HUSBY,LANC[J. JOb COSf Ifl(OffT12�lOf1('r/N) <br /> Start Date i � _ Time ___ Date Completed eiano�s __. Permit No __ <br /> Completed By Time Follow Up? <br />