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Work Activity IlVork Orc9er "�°` � <br /> ��ze;: �-:� ��: , � <br /> _---- ----- — _ _— --------- <br /> ISSU2d By SJT2 SPOON=�R,JAMES T. <br /> Issued Department�w PUBLICWORKS <br /> Date Issued �sieno�n <br /> Fund ao� Account s Program Function Activity <br /> Program UT3473 a 3 <br /> Tltle CONVERT.75 INCIi 2323 LOMBARD AVE UT3473-4-3 <br /> �NOfk OfdEf NO 20141096 Project Activity Typa CORRECTIVE MAINT[NANCE S�atUS C� <br /> Status s�s�zma Time oa:io _ Original WO__ _ __ Billing _ ___ ___ ___ _ _— <br /> � Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P Change Map YIN <br /> Subdivision <br /> Phone No ( ) - Ext __—-_--_- —. <br /> Second Phone ( ) - Ext <br /> E-MailAddress ____.--_-_------- <br /> Problem Information <br /> Address pgz3 Street LOMBARD AVE <br /> From Cross Street <br /> To Cross Street <br /> City Z�p <br /> Sutdivision Map Book Nlap Reference <br /> Problem WATER WATER <br /> Sub Pro�lem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locate (l!SA) No Called Date Expiration Date <br /> Assignment Information <br /> Dept Priority Esi�^�ated Hours <br /> j Crew <br /> Contracter <br /> Assigned To <br /> Assipned By To Be Comp Date ' . a, ,. � u , „; ,,; ;, <br /> Assigned Date — -- _ ----- - 1�f, ' . r, ,,'� �J_ � y.� -- <br /> Scheduled Date Scheduled �ime <br /> �i Raute Route Sequence <br /> IComments <br /> Action Takc n COtJVERT.75 INCH CURBSTOP T(1.75 INCH SETTER WITH METER AND BOX.FLAT TO PAETE4 <br /> PROJtCT. <br /> Recommended Action <br /> Approved By HLJ Husev,v+Nc��. Job Cost Information(Y/N) <br /> -- ----- -- -- Permit No <br /> Start Date � � 1'ime Date Completed smzo�a____ __—— <br /> — ---___ — <br /> Completed By Time Follow Up? <br />' <br />