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W�rk Activity Work Qrder Pag� 1 <br /> G/19/2014 9:05 <br /> Issued By SMA1 SCAI20, MELODY A. <br /> Issued DepartmentPw PUBLICWORits <br /> Date Issued 5I2/2014 <br /> Fund aot Account s Program Function Activity <br /> Program UT3473 a a <br /> Title CONVEHT.75 INCH 1917 LOMBARD AVE UT3473-4-3 <br /> WOfk OfdEf NO 201410�!7 PI'UJCCf ACliViry Type CORRECTIVE MAINI'ENANCE S�2fU5 CL <br /> Status sivzoia Time �o:s� 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 Y1N <br /> Phone No ( 1 - Ext <br /> Second Phone ( ) - Ext — <br /> E-Mail Address <br /> Problem Information <br /> Address 191� Straet LOMQARDAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision h4ap Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTNER <br /> Requested By Date Requested <br /> Aqency Related Request <br /> Initiated From <br /> Utility Locate (USA) No Called Dale Expiration Date <br /> Assignment Information <br /> Deot Priority Estimated Hours <br /> C;e+v <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date ____ To Be Comp Date <br /> Scheduled Date Scheduled Time ___ _ ������ ' ''}���_���i��( ,7 ,�_�� ,_i� <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CUR�STOP T0.751NCH SETTER WITH METER AND BOX. FLAT 70 METER <br /> PROJECT. <br /> Ri ^ommended Action <br /> Approved By HW r+usov,�nNc��. Job Cost Information(YIN) <br /> Start Date � r Time Date Completed siz�no�n Permit No <br /> — -- -- — - -- --- -- ---- -- <br /> Completed By Time Follow Up? <br />