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Work Activity Work Order Page ' <br /> �/../^_ois s:aa <br /> ISSU2d By SJT2 SPOONER,JAMES T. <br /> Issued Departmentaw PUBLICWORHS <br /> Date Issued e�si2o�s <br /> Fund ao� Account s Program Function AcUvity <br /> Program UT3473 e � <br /> TIIIQ CONVERT ]S INCH 1706 LOMBARD AVE UT3473-6�3 <br /> Work Order No 20151314 PfOJL'Ct Activity Type CORRECTIVE�dAINTENANCE $lOIUS CL <br /> St8tU5 E/9/2015 TIf11B OB�iG Original WO Bllllfl� <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> Slate Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone l ) - Ext -- <br /> E-Mail Address <br /> Problem Information <br /> Adaress 1706 Street LOMBARD AVE <br /> From Cross Street <br /> To Cross Street <br /> Gty Zip <br /> Subdivision Map Book Nlap Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requesled 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 /> ToBeCom ���(�',��`���� � '�� � <br /> Assigned Date p Da�e � � � <br /> Scheduled Date ____ Scheduled Time _ <br /> Roule Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSTOP TO.75 INCFi SETTER WITfi METER ANU BOX. 1=LAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ Husav, �nNce� lob Cost Intormation(Y!N) <br /> Start Oate � r Time Date Completed s!�onots Permit No <br /> Completed By Time Follow Up? <br />