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Work Activity Work Order Page � <br /> v�io�zoi5 ii:zs <br /> ISSUBd BY SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 612/2075 <br /> Fund ao� Account s Program Function Activity <br /> Pro�ram UT3473 6 3 <br /> ' TIIIQ CONVERT 75 INCH 11'3 LOMBARD AVE UT3473�63 <br /> Work Order No 20151254 PfOfECY Activity Type CORRECTIVE MAINTENANCE Sf8llJ5 CL <br /> Status 6izizois Time oa z� Original WO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State ZiP <br /> Subdivision Change Map Y/N <br /> Phone No 1 l • Er.; <br /> Second Phone ( � • E;<t — — <br /> E-Mail P.ddress <br /> Problem Information <br /> Address i»3 Street LOMBARD AVE <br /> From Cross Street <br /> To Cross Street <br /> Ciry 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 /> 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 <br /> Assigned By !'��;�� ;� — <br /> Assigned Date To Be Comp Date '�+y �f�.�i�' y'^, <br /> Scheduled Date Scheduled Time j <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CUR9STOP TO.75 INCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ HUSBY,LANCE J. JOb COSf IflfOffflBtlOf1(Y/NJ <br /> Start Date i i Time Date Completed fi1312015 Permit No <br /> Completed By Time Follow Up? <br />