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Work Activity Work Order page 1 <br /> 6/4/201A 13:55 <br /> —'--�--- ___ .— - --- - --- — ---- — �-- -- —� ------ __.. <br /> ISSU2dBY SMA1 SCALZO,MELODYA. <br /> Issued De4artmentaw PUBLICWORKS <br /> Date Issued 4l3012014 <br /> Fund ao� Account s Program Function Activity <br /> Program UT1M17J a 3 <br /> Title CONVERT .75 INCH 2107 LOMBARD AVE UT3473�l-3 <br /> WOfk Ofd�f NO 20141014 P�OjBCt Activity Type CORRECTIVE MAINTENANCE SIBIUS CL <br /> Status 4/30I2014 Time te:3z Original WO Billing , _ <br /> Customer Information <br /> Customer Name Cuslomer ld <br /> Address Street <br /> Apartment No City <br /> Stale Zip <br /> Subdivision Change Map Y!N <br /> Phone No ( ) - Ext <br /> Second Phone ( ) - Ext -- ---- -- --- - <br /> E-Mail Address <br /> Problem Information <br /> Hddress P107 Street �OMBARDAVE <br /> From Cross Street <br /> To Cross Street <br /> City Zip <br /> Subdivision Map Book Niap Reference <br /> Problem WATEft 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 Priority Estimated Hours <br /> Crew <br /> Con�ractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date _____ To [3e Comp Date <br /> Scheduled Date ________ Scheduled Time __ ; ; :; ,? �� '�) I�`��;! i(_, . I',.�( .;, <br /> Route Route Sequence ' <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP T0.75 INCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By H�� Husov, taNCE �. Job Cost Iniormalion(YIN) <br /> S��rt Dale i i Time Date Completed sns�zo�a Permit No <br /> Completed Dy Time Folfow Up? <br />