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1Nork �4ctivity Work Order 'v5.- - <br /> s�:aizo�� is:�1 <br /> ISSU2d By SJT2 � SPOONEF,JAMES T. <br /> Issued DepartmentPw PUBLICWORKS <br /> Date Issued 5isao�a <br /> Fund ao� Account 5 Program Function Activity <br /> Program UT3473 a 3 <br /> TIIIB CONVERT.75 INCH 2511 LOMBARD AVE UT3473-4-3 <br /> WOfk OfdBf NO 20141089 PfOJ2Ct Activity TyPe CORRECTIVE MAINTENANCE St8fU5 C� <br /> Stahas 5ieizoia _Time o�:ao Original WO_ _ _ _ ____ Billing _ _ __ __ .—___-_-.. <br /> Customcr Infarmation Customer ld <br /> Customei Name <br /> Address Street <br /> Apar:ment No Ciry <br /> State Z�P <br /> Subdivision Change Map Y/N <br /> Phone No ( > - Ext _________— <br /> Second Phone ( 1 • Ext <br /> E-Mail Address _—----- --- ----- <br /> Problem Information <br /> Address 2511 Street �pfJIBARD 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 /> Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated From <br /> Utiliry Locate (USNj No Called Date Fxpiration Date <br /> Assignment Information <br /> Dept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> f Assigned To <br /> � Assigned 6y � - <br /> ! Assi ned Date To Be Comp Date ' �"� <br /> 9 - - - — - ---- _ . .. <br /> � Scheduled Date __ Scheduled Time ____ _ <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.75 INCH CURBSTOP TO.75 IhCH SETTER WITH METER AND BOX.FLAT TO METER <br /> PROJECT. <br /> Recommended Action <br /> Approved By HLJ Husav, �aNce� Job Cost Information(Y/N) <br /> Start Date � � Time ____ Date Completed 5isno�a _ _ _ Permit No _ ___ <br /> Completed By Time Follov� Up? <br />