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V11ork Activity Work Order �°�r ' <br /> �/tc;�ois !0� 3� <br /> ISSI:ed By SJT2 SPOONER,JAMES T. � <br /> Issued Department Pw pUBLIC WORKS <br /> Date Issued eiaizo�s <br /> Fund noi Account 5 Program Function Activity <br /> Program uraan 6 3 <br /> TIllB CONVERT JS INCH 1228 LOM1IBARD AVE UT3473-6-3 <br /> Work Order No 20151260 PfOJOCt Activity Type CORRECTNE MAINTENANCE Sf0fU5 CL <br /> Status 6�aizo�s Time os 3e 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 ( ) • Ext <br /> Second Phone l ) • Ext -- — - <br /> E-Mail Address <br /> Problem Information <br /> Address 1YY8 Street LONBARD AVE <br /> From Cross Street <br /> To Cross Street <br /> City 2ip <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub ProGlem OTHER OTHER <br /> Requested By Date Requesled <br /> Agency Relaled Request <br /> Initialed From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Prionty Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Asslgned By ��;%,�:;; <br /> Assigned Date To Be Comp Date ___ '�'��'�� �° � <br /> �.��I� J? <br /> Scheduled Date Scheduled Time <br /> Roule Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCIi CURBSTOP 70 .751NCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By H�.i HUSBV, LANCE J Job Cost Information(Y/N) <br /> Start Date � r Time Date Completed ei9�zo�5 Permit No <br /> Completed By Time Follow Up? <br />