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Work Activity Work Order Pa9� 1 <br /> ����zois ia :o� <br /> ISSU2d BY SJT2 SPOONER,JAMES T. <br /> Issued Department aw PUBLIC WORKS <br /> Date Issued 6/1I20�5 <br /> Fund aot Account 5 Program Function Activity <br /> Program ursa�a 6 3 <br /> Title CONVERT 75 INCH 1509 LOMBARD AVE UT3473-6-3 <br /> WOfk Ofd2f NO 20�5�226 P�OjBCf Activity Type CORRECTIVE MAINTENANCE StOIUS CL <br /> Status eivzou Time os.io Original WO Billing <br /> Customer Information <br /> Cusromer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 - Ext <br /> Second Phone ( 1 - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address �Spg Street LOMBARD AVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Prablem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Reyuested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locale (USA) No Called D�te Expiration Date <br /> Assignment In(ormation <br /> Dept Prionty Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By � __ <br /> Assigned Date To Be Comp Date �'�y,p���' �� �,�° p9 <br /> Scheduled Date Scheduled Time __ <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP T0.751NCH SETTER WIT!i METER AND BOX. FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By Hld tiusev,�nNCE� Job Cost Information(YIN) <br /> Start Date � r Time Date Completed e�zizots Permit No <br /> Compl�ted By Time Follow Up? <br />