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Work Activity Work Order Pa9e ' <br /> _____ . ___ _ _ _ — <br /> ��i��zois i�:i3 <br /> Issued dy S.l7z SPOONER,JAMES T. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued 613I2015 <br /> Fund 4p� Account 5 Program Function Activity <br /> Program UT3473 6 J <br /> TiIIB CONVERT 751NCH 1032 LOMBARD AVE UT3473-6-3 <br /> WOfk OfdQf NO 2��5�2�� Pf0f8C1 Activiry Type CORRECTIVE M17AINTENANCE $I8tU5 CL <br /> Status 6/3/2015 Time i3 io Original WO Billing <br /> Customer Iniormation <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 Information <br /> Address 103Y Street LOMBARDAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book hlap Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> ReGuested 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 /> C rew <br /> Contractor <br /> Assigned To <br /> Assigned By f��������� �r�y <br /> Assigned Date ___ To Be Comp Dale _ � ��� <br /> Scheduied Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBS70P TO.751NCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PRCJECT. <br /> Recommended Action <br /> Approved By HW tiuser, taNCE�. Job Cost Information(Y/N) <br /> Start Date � i Time Date Completed siano�s Permit No <br /> Completed By Time Follow Up7 <br />