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Work Activit�r Work Order 'ag` ' <br /> ��ie�zo�s io:��� <br /> ISSUEd By SJT2 SPOONER,JAMES T. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued s�a�za�s <br /> Fund aot Account 5 Program Function Activity <br /> Program UTJ473 6 3 <br /> Tllle CONVERT.5 INCH 1418 LOMBARD AVE UT3473-6-3 <br /> Work Order No 20151283 Project Activity Type C�nRECTIVE MAINTENANCE Status c� <br /> Status eia�zo�s Time os as Original WO _ __ BilGng <br /> Customer Information <br /> Customer Name Cusromer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/P! <br /> Phone No ( ) - E'xt <br /> Second Phone ( ) - 1=xt <br /> E-Mail Address __ <br /> Problem Information <br /> Address �q�g Street LOMBARD AVE <br /> From Cross Street <br /> To Cross Street <br /> City Z�P <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 Cailed Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By ��!'��=��� �� �� �`�--�- �T <br /> Assigned Date ___ To Be Camp Date <br /> Scheduled Date Schedulc�d Time ___ <br /> Route Rout= Sequence <br /> Comments <br /> Action Taken CONVERT.5 INCH CURBSTOP TO.75 INCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ Husev,�nNce� Job Cost Information(Y/N) <br /> Start Date � � Time Date Completed er�ono�s __ Permit No <br /> Completed By Time Follow Up? <br />