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Work �ctivity Work Order pa9� 1 <br /> �/�/zois �a:o� <br /> ISSUed BY SJT2 �� SPOONER,JAMES T. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued 6/1I2015 <br /> Fund ao� Account s Program Function Activity <br /> Program UT3473 c � <br /> TIII2 CONVERT 5 INCH 1505 LOMBARD AVF UT3A73-6-3 <br /> WOfk Ofdef NO Z��S�ZZ� PfOjeCl ACfivity Type CORRECTIVE MAINTENANCE StafUs CL <br /> Status 6172015 Time o5 52 Original WO _ _Billing ___ ___ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Streei <br /> Apartment No City <br /> State ZiP <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( ) - Ext -- <br /> E-Ma�l Address ____. _ _._.— <br /> Problem Information <br /> Address 1505 Street LOMBARD AVE <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 /> Ag2ncy Related Request <br /> Initialed From <br /> Utility Locate (USA) No Called Date Expirat�on Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assi ned B <br /> Assigned Date To Be Comp Date ��l�;�;r�i ��� � <br /> 2 J ��F�: <br /> Scheduled Date _ Scheduled Time _ <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.5INCH GURBSTOP TO .751NCH SETfER'NITH METER AND BO%.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By H�� HUssv, v�Nc[� Job Cost Information(Y/N) <br /> Start Date i i Time ____ Date Completed 612120i5 Permit No _ <br /> Completed By Time Follow Up7 <br />