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Work Activity Vilork OrdE r Page 1 <br /> iiii/2o�i 1U:95 <br /> ISSUed BY SJT2 SPOONER,JAMES T. <br /> Issued DepartmentPw PUBLICWORKS <br /> D81B ISSUBd 913012071 ACtivit <br /> Fund aot Account s Program ��o Function t�s Y sr� <br /> Prograin CONVERT.751NCH 1811 LOMBARD nVE 710179675 <br /> TiUe <br /> Work Order No 2�����47 PfOJECl Activity Type CORRECTIVE MAINTENANCE S�8tU5 CL <br /> Status sisoizoti Time io:55 Origir3l WO Billing <br /> Customer Information Customer ld <br /> Customer Name <br /> Address Street <br /> Aparlment No City <br /> State Z�P <br /> Subdivision Change Map YIN <br /> Phone No ( > - Ext _ <br /> Second Phone � > - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address ig�� Street LOhIBARD AVE <br /> From Cross Street <br /> To Cross Straet <br /> City ZiF <br /> Subdivision Map Book Niap Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expi;ation Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By To Be Comp Date <br /> Assigned Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken REPLACE.75 INCH CURBSTOP WITH.75 INCH SETTFR,METER AND BOX.FLAT TO METER <br /> PER OWNER REQUEST. <br /> Recommended Action <br /> Approved By HLJ HUSBY,LANCE J. JOb COSf If1f0(f118fI0f1(1'If�) <br /> Stz�t Date � I Time Date Completed tmtonol� Permit No _ <br /> Comple'�d By Time Follow Up? <br />