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Work Activity Work Order page 1 <br /> 6/19/2014 8:34 <br /> �Ssued By SMA1 SCALZO, MELOOY A. <br /> Issued Department Pw PUBLIC`NORKS <br /> Date Issued siaizota <br /> Fund qoi Account s Program Function Activity <br /> Program UT3473 4 3 <br /> Title CONVERT.75 INCH 192A LOMBARD AVE UT3473-�i-3 <br /> Work Order No 20141119 PfOjBCf Activity Type CORRECTIVE MAINTENANCE StafUS CL <br /> Status sianota Time �s:3a 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 YIN <br /> Phone No ( 1 - Ext <br /> Second Phone ( 1 - Ext — <br /> E-Mail Address <br /> Problem Information <br /> Address �gpq 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 /> Uliliry Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date ___ __ To Be Comp Date _ _ <br /> Scheduled Dale Scheduled Time 1 ; ';; ;�, , , ''''i :� ,- i; <br /> --- ---- . �, '�) ii ' L . .,.. ' . <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.151NCH CURBSTOP TO .751NCH SETTFR WITN METER AND BOX. FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HW HUSBY,IANCF J JOb COSf If7fOffTl2llOf1(YM� <br /> Start Date r r Time Date Completed sn9�zoia Permit No <br /> - - - -- <br /> Completed [3y Time Follow Up? <br />