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Work ��ctivity INork Order Page � <br /> �/�/sois ia :os <br /> ISSU2d BY SJT2 SPOONER,JAMES T. <br /> Issued UepartmentPw PUBLICWORKS <br /> Date Issued sivzo�s <br /> Fund aot Account s Progrem Funclion Activdy <br /> Program uTaa�a e s <br /> Title CONVERT 75 INCH 14J7 LOMBARO AVE UT7473-6-3 <br /> WOfk Ofd2� NO 2��5�Z29 Project Activiry Type CORRECTIVE MAINTENANCE Sf2lU5 CL <br /> StaWs eivzoi5 Time o5 ie Original WO _ Biiling _ _ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) • Ext <br /> Second Phone c 1 - Ext - <br /> E-Mail Address <br /> Problem Information <br /> Address �q3� Street LOMBARDAVE <br /> From Cross Street <br /> Ta 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 /> Aoency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Prionty Estimated Hours <br /> Crew <br /> Centractor <br /> Assigned To <br /> Assigned By <br /> Assgned Date _,___ , To Be Comp Date __ , � „� i� w <br /> Scheduled Date Scheduled Time � ��'�� � r � ��� e`�` <br /> Route Route Sequence <br /> Comments <br /> ACt10� Tek¢fl CUNVERT.75 INCH CURBSTOP TO.75 INCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action • , <br /> Approved By HW HUSBY, LANCE J JOb COSf I�fO�fT1BlI0f1(Y/N� <br /> Start �ate i � Time _ Date Gompleted 6nno�s Permit No ___ <br /> Completed By ' Time Fallow Up7 <br />