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Work Activity Work Order �°c� � <br /> - - - _ - _ — - ---- - - <br /> :����2�-:� , �:�5 <br /> ISSUOd By SJT2 SPOONER,JAMEST. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued s�sno�a <br /> Fund ao� Account s Program Function Activity <br /> Program UT3473 a 3 <br /> Tlfle COtJVERT.75 INCH 2319 LOM6ARD AVE UT3473-4-3 <br /> Work Order No 201�1097 PfOJ2Cf Activity Type CORRECTIVE MAINTENANCE SlBfUS CL <br /> Status 516/2014 Time oa:�z __ Origin2l WO Billing _ _ _ __ <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext _ _ ___ <br /> Second Phone ( ) - Ext <br /> E-Mail Address _ _ --- — <br /> Problern Information <br /> Address Y3�g 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 /> Utility Locate (USA) No Called Date Expiration Date <br /> Asaignment Infonnation <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Hssigned To <br /> Assigned By <br /> Assigned Date ________ To Be Comp Date _ ____ <br /> ;. , 'x, <br /> Scheduled Date .__ ____ Scheduied Time ___.__ ;".;� , ': �.�' .. .. . <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSTOP T0.751NCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Rucummended Action <br /> Approved By H�� HussY, �nNce d. Job Cost Information(Y/N) _ _ <br /> Start Date i i Time _ _ _ Date Completed smm�a _ __ _ Permit No <br /> Campleted By Time Follow Up? <br />