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Work Activity Work Order �ag� 1 <br /> ��,��oi5 :5: i� <br /> ISSU2d By SJT2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Datelssued sn7no�5 <br /> Fund qo� Account s Program Function Activity <br /> Program UT3473 6 3 <br /> Tiil2 CONVERT.75 1NCH 1627 LOMBARD AVE UT3473-63 <br /> Wark Order No 20151201 Project Activity Type CORRECTIVE NAINTENANCE $f2lUS CL <br /> Status 5inrzo�s Time o5<a Original WO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( I - Ext <br /> Second Phone ( ) - Ext -- ---- <br /> E-Mail Address <br /> Problem Information <br /> Address 16P7 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 /> 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 _ _ _ _ �j,��"�l,l:� �' � �,� � <br /> t/ <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCFi CURBSTOP T0.75 INCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By H�.I Husev, �nNce� Job Cost Information(Y/N) <br /> Start Date � � Time Date Completed 512 812 0 1 5 Permit No <br /> Completed By Time Follow Up? <br />