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Work Activity Work Order Pa°P 1 <br /> ��;�zois ia :o� <br /> ISSUEd BY SJT2 SPOONER,JAMES T. <br /> Issued Oepartmentaw PUBLICWORKS <br /> Date Issued enno�s <br /> Fund aot Account 5 Program Funclion Activity <br /> Program UT347S e s <br /> TItl2 CONVERT .5 INCH 7515 LOMBARD AVE UT3473�6-3 <br /> Work Order No Z0�5�225 PfOfBCI Activity Type CORRECTIVE MAINTENANCE StBfUS CL <br /> Status 6I1/2015 Time os oa Original WO _ Billing _ ____ <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 l 1 • Ext <br /> Second Phone ( 1 • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address �g�5 Street LOMBARD AVE <br /> From Cross Street <br /> To Crass Street <br /> Ci!y Z�p <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTNER <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 _ � w t �+ <br /> �iA a�T3!��+� �'i L,!�!R� ''��-._ F.' <br /> Scheduled Date _ Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.S INCH CURBSTOP T0.751NCH SETTER WITH METER AND BOX. FLAT TO METER <br /> PROJECT. <br /> Recommended A�!:�n <br /> Approved By HLJ Husev, �nNce� Job Cost Information(Y/N) <br /> Start Date � i Time _ Date Compieted ei2rzots Permit No <br /> Completed By Time Follow Up? <br />