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Work Activity Work Order pa°e 1 <br /> 6/19/2014 9:04 <br /> Issued By SMA1 SCALZO,MELODY A. <br /> Issueo Department Pw PueLIC woRKs <br /> Date Issued sivzo�a <br /> Fund ao� Account s Program Function Activity <br /> Program Ui3473 a s <br /> Title CONVERT.751NCH1906LOMBARDAVEUT3473-0-3 <br /> V�Ofk OfdOf NO 20141050 Project Activity Type CORRECTIVE MAINTENANCE SIBfUS CL <br /> Status snizoin Time nzs 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 ( ) - Ext <br /> Secor.d Phone ( ) - Ext -- — <br /> E-Mai;Address <br /> Problem Information <br /> Address 1906 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 Prioriry Estimaled Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date _ To Be Comp Date _ _ _ <br /> Scheduled Date Scheduled Time <br /> Roule Route Sequence ��"�`�` ���u��-)li'i,�I', �� � <br /> Comments � •�--����=� ��� <br /> Action Taken CONVERT.751NCN CUR6STOP TO.751NCH SETTER WITH METER AND BOi(. FIAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ NUSBY, LANCE J. JOb COSI I�(OflT12lI0n(Y/N) <br /> Start Date I I Time Date Completed SIze�2oia Permit No <br /> Completed By Time Follow Up� <br />