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Work Activity Work Order Pa9e 1 <br /> 6/19/2014 8:40 <br /> Issued By SMA1 SCALZO,MELODY A. <br /> Issued Department Pw Pueuc woRKs <br /> Date Issued snlzoia <br /> Fund aoi Account s Program Function Activity <br /> Program UT3473 a a <br /> Title CONVEkT.75 INCH 1912 LOMBARD AVE UT3473-4-3 <br /> Work Order No 20141105 PfOjPCf Activiry Type CORRECTIVE MAINTENANCE SfefUS CL <br /> Status sn�zoia Time ii2s Original WO Billing <br /> Cu:tomor Information <br /> Custo�ner Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone ( ) - Ext -- <br /> E-Mail Address <br /> Problem Information <br /> Address 191z 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 /> �_'tility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contracror <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time ,'�. I.�� ;� •�� ;-, � „ - � , - :� , <br /> _ io •._;) ;r'n '_�,.,: i�'_= '�: <br /> Route Route Sequence - - <br /> Comments <br /> Action Taken CONVERT.75 IIlCH CURBSTOP T0.751NCH SETTER WITH METER AND BOX. FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By H�.1 HUSaY,�l+NCE d. Job Cost In(ormation(Y/N) <br /> Start Dafe � � Time Date Completed s�zano�a Permit No <br /> Completed By Time Follow Up7 <br />