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Work Activity Work Order °'9` � <br /> �/io;zois �i : i� <br /> ISSUed BY SJT2 SPOONER, .AMES T. <br /> Issued Departmentaw PUBLICWORKS <br /> Date Issued 613I2015 <br /> Fund aoi Account 5 Program Function Activity <br /> Program UT7473 6 3 <br /> Titl2 CONVERT.75 INCH 1702 LOMBARD AVE UT3473-6-3 <br /> WOfk Ofdef NO 20151273 Project ACfiVity Tyh2 CORRECTIVE MAINTEN�NCE Sl8fU5 CL <br /> StaWs ei3izois Time i32� OriqinalWO 2�'ling _ <br /> Customer Intormation <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 l ) • Ext <br /> Second Phone ( > • Ext – - --- — <br /> E-Mail Address <br /> Problem Information <br /> Address ��pp 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 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 /> Depl Priority Estimatad Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date _ To Be Comp Date ���'V'�,�',;"' �y y� �y�,, <br /> �4,J���,!17J �'!�J <br /> Scheduled Date Scheduled Time <br /> Roule Route SeGuence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP TO.75 INCH SETTER WITH METER AND BOX. FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ Husev, �,artcE�. Job Cost Information(Y/N) <br /> Start Date � i Time Date Completed 61412015 Permit fJo <br /> Completed By Time Follow Up? <br />