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1Nork activity Work Order Pa�e = <br /> ����zoi5 :7: i6 <br /> --; - — - — <br /> ISSU2d BY SJT2 SPOONER,JAMES T. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued snn2o�s <br /> Fund ao� Account s Program Function Activity <br /> Program UT3C73 e a <br /> T�tle CONVERT]5 INCH 1719 LOM8AR0 AVE UT3473•6-3 <br /> !Nork Order No 2��5��95 PfOj2Cf Activity Type CORRECTIVE MAINTENANCE Sf8tU5 CL <br /> Status 5�z�rzot5 Time os 3i Original WO Billing <br /> Customer Information <br /> Cusromer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> S�ate Zip <br /> Subdivision Change Map Y!N <br /> Phone No ( > - Ext <br /> Second Phone ( ) - Ext ---- <br /> E-Mail Address <br /> Problem Information <br /> Address ���g Street LOMBARDAVE <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 /> Utilily 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 ����������„���� <br /> Scheduled Date Scheduled Time <br /> - -- _- - <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP TO.75 INCH SETTER WITH METER AN�BO%.FLAT TO METER <br /> ' PROJECT. . <br /> Recommended Action ' <br /> � Approved By H�� HUSer,taNCE�. Job Cost Information(Y/N) <br /> Start Date i i Time . Date Completed 5128I2015 Permit No <br /> Completed By Time Follow Up? <br />