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Work Activity Work Order Page � <br /> ��io�zois ii:�3 <br /> ISSUed By SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued e�z�zo�s <br /> Fund qoi Account s Program Function Activity <br /> Program UT3473 6 3 <br /> Till@ CONVERT .75 INCH 1405 LOMB�RD AVE UT3473-6�3 <br /> WOfk OIdGf NO 20151241 P�OjBCt Activity Type CORRECTIVE tdAINTENANCE St2fU5 CL <br /> Status sm2o�5 Time oeoo Originai WO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map YfN <br /> Phone No ( 1 • Ext <br /> Secon� Phone l ) • Ext — <br /> E-Mail Address <br /> Problem Information <br /> Address iqpg 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 /> A9ency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assiyned To j��'��t�'� b'' �'� �. � ;� i#�', <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduied Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT .751NCH CURBSTOP TO.751NCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HW HUSev,v��Ce.l. Job Cost Information(Y/N) <br /> Start Date i � Time Date Completed snizots Permit No <br /> Completed By Time Follow Up? <br />