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Work Activity Vi/ork Order Page � <br /> 3/26/2010 8:52 <br /> IGSJBd By � � SJT2 SPOONER,JAMEST. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued s�2ci2oio <br /> Fund qo� Account 5 Program »o Fur�ction ��9 Activity ssa <br /> Program <br /> TIf18 SO.75 INCH 2212 LOMBARD AVE 710179664 <br /> Work Order No z�'����79 PfOjOCf ACflVlfy TyPe CORRECTIVE MAINTENANCE SIefUS PR <br /> Status a�zs�zoio Time oe:as Original WO _ __ Billing _ _ ___ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivisiun Change Map Y/N <br /> Phone �o ( ) - Ext <br /> Second Phone ( ) - Ext — — <br /> E-Mail Address <br /> Problem Information <br /> Address P212 Street LOMBARD AVE <br /> From Cross Street <br /> To Cross Slreet <br /> City Z�P <br /> � Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Relate� Request <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> � Dept Priority Estimated Hours <br /> Crew <br /> ConVactor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Raute Route Sequence <br /> Comments <br /> Action Taken •Z�l��/�—�'�L� �—!��/T'`�.S�kc/� `��-�ir� �^'�M G ft� <br /> — ---- � <br /> (�,��1 ;, <br /> �- <br />