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?c�2 1 <br /> Work Activity Work Order ,;��;z,�� -,;:,, <br /> - ---- - - ----- <br /> ISSU2d By SJT2 SPOONER,JAMES T. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued 5�snota <br /> Fund aoi Account a Program Function Activiry <br /> Program UT3473 a 3 <br /> TIYIe CONVERT.75 INCH 2423 LOMBARD AVE UT3473-4-3 <br /> Work Order No 20141093 P�OJ2Cf Activity Type CORFECTIVE MAINTENANCE SfetUS CL <br /> S�BtUS 5/612014 TIIll2 08:03 Ofi if121 WO BIIIIf1C_ _ ___ _ _ _ _____ __ __— <br /> 9 - - — - <br /> Customer Information <br /> Customer Name Customzr ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Subdivision Change A4ap Y/N <br /> Phone No � 1 - Ext __ __ ____ <br /> Second Phone l ) - Ext <br /> E-Mail Address -- ------ <br /> Problem ��formation <br /> Address 2423 Street LOMBARD AVE <br /> From Crass Street <br /> To Cross Street <br /> City ZiP <br /> Subdivision Map Book Map Reference <br /> Problem WATcR WATER <br /> Sub Problem OTHER OTHER <br /> Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expira?ion Date <br /> Assignment Information <br /> � Dept Priority Estiinated HoUr� <br /> Crew <br /> Contractor <br /> ; Assigned To <br /> Assigned By To Be Comp Date <br /> �I Assigned Date __ ._-_ --- <br /> Scheduled Date _ __ Scheduled Time __ <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSTOP TO.75 INCH SETTER WITH METER AND BOX. FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By H�J NUSBY,IANCE J. JOb COSf IIl(Off1181i011(Y/N) _ <br /> —-- -- _ Date Completed 5nno�a _ Permit No <br /> Start Date i � Time <br /> Completed Ry Tiine Foilow Up? <br />