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Work Activity Work 4rder Page � <br /> 5/7/2011 16:58 <br /> ISSU@d By � SJT2 SPOONER,JAMES T. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued aneizo�t <br /> Fund ao� Account 5 Program �to Function 1S9 Activity s�s <br /> ?rogram <br /> Title REPAIR.75 1NCH 1427 LOMBARD AVE 710719675 <br /> Work Order No 20110665 PfOJBCI Activity Type CORRECTIVE MAINTENANCE Sf8fU5 CL <br /> Status 4I79/2011 Time oro� Original WO Billing _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> ApaRment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( 1 - Ext <br /> Second Phone ( > • Ext — <br /> E-Mail Address <br /> Problem Information <br /> Address �4p7 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 LEAK LEAK <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 /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date _____ Scheduled Time <br /> Route Route Sequence <br /> C�mments <br /> Action Taken CONTRACTOR FOUND LEAKING.751NCH CORPSTOP.REPLACED SERVICE FROM MAIN TO <br /> CURBSTOP AND PUT IN NEW.751NCH SETTER WIJUMPER AND BOX.FIXED HOT. <br /> Recommended Action <br /> Approved By HLJ Hussv, �nNce�. Job Cost Iriformation(Y/N) <br /> Start Date � � Time Date Completed q17912011 Permit No <br /> Completed By Time Foliow Up? <br /> ��3 <br />