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Woric Activity Work Order �ac°= ` <br /> -�%zs/zais y:a: <br /> ISSU2d BY SJT2 SPOONER,JAMES T. <br /> Issued DepaRment Pw pueuc wOaKs <br /> Date Issued 61912015 <br /> Fund aot Account 5 Program Function Acl�vity <br /> Program UT347� 6 3 <br /> TiUe CONVERT 75 INCH 1 B22 LOMBARD AVE UT3473�6-3 <br /> Work Order No 20151325 PfOJBCI Activiry Type CORRECTIVE MAINTENANCE Sf�il15 CL <br /> Status _eie�2ois Time iza5 Original WO ^ _ Bil!iny <br /> Customer Information <br /> Cuslomer Name Customer ld <br /> Address Slreet <br /> Apartment No City <br /> State Z�p <br /> Subdivision Change Map Y/N <br /> Phone No l 1 • Ext <br /> Second Phone ( ) - Ext — — — "–— — <br /> E-Mail Address <br /> Problem Information <br /> Address �gyy Streel LOMBARD AVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Bock Map Reference <br /> Problem WArER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Dale Expiralion Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Coniracror <br /> Assigned To <br /> Assigned By -`•.�' "(!,'jj-� i� �j Y:�. <br /> Assigned Date ____ To Be Comp Dale �� �-__L�i_; <br /> Scheduled Date Scheduled Time __ _ __ <br /> Route Raute Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP TO.75 INCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ HUSBY, IANCE J JOb COSi IflfOffil2llOf1(Y/NJ <br /> Start Date � r Time Date Completed 6I1512015 Permit No <br /> Completed By Time Follow Up7 <br />