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Work Activity Work Ord�r Pa9� 1 <br /> s�i.,��oia s:o� <br /> - - - — ------ — ---- - — <br /> ISSl12d By HLJ HUSBY, LANCE J. <br /> Issued DepartmFnt Pw PUBLIC WORKS <br /> Date Issued 7129/2014 <br /> Fund ao� Account s Program Function Activity <br /> Program UT3473 a s <br /> TI�IB CONVERT.75 INCH 2403 LOMBARD AVE UT3473�3 <br /> Work Order No 20142632 PfOJ2CI Activiry Type CORRECTIVE A9��II�TEN�NCE SfBIUS CL <br /> Status �n9izoia Time i5:33 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 Y/N <br /> Phone No ( ) - Ext <br /> Second Phone l ) - Ext - <br /> E-Mail Address <br /> _ _ . ---...----- <br /> Problem Information <br /> Address 2403 Street LOMBARD AVE <br /> Fram Cross Street <br /> To Cross Slreet <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utility Locale (USA) No Called Dale Expiration Date <br /> Assignment Information <br /> Dept Priority Eslimated Hours <br /> Crew <br /> Contrector <br /> Assigned To <br /> �\ssignedBy ,o ; �..,. <br /> Assigned Date __ _ To Be Comp Date _ _ ��a'Sy;}�����y� �::�i;?� �rr <br /> , <br /> _ v''�'F, k� <br /> Scheduled Date Scheduled Time _ _ <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBS70P T0.75 1NCH SETTER WITH METER AND BOX. FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HL� HUSsr,�nnt�cF J. Job Cost Information(YIN) <br /> Start Date � � Time Date Completed yizer_oin Permit No <br /> Completed By— -- ----- - _. Time -- =ollnw Up?_ _ <br /> � ��� <br />