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�?��.�-� ���� <br /> Page 1 <br /> V11ork Activity Work Order 71„Zall 15:13 <br /> ISSUOCJ BY WMW WARD,MICHAEL W. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued 512 312 01 1 Activit <br /> Fund ao� Account s Program ��o Function ��y y 664 <br /> Program <br /> Title SO NEW 4"SVC DCDA 3315 LOMBARD AVE 710119664 <br /> Work Order No 20110815 PfOJBCf Activity Type CORRECTIVE MAINTENANCE S�OfUS CL <br /> Status 5I23/2U71 Time it:as Original WO iso�n Billing <br /> Cusiomer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�P <br /> Suhdivision Change Map YIN <br /> Phone No ( > - Ext <br /> Second Phone ( 1 • Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 3315 Street LOMBARD AVE <br /> From Cross Street <br /> To Cross Street <br /> City Z�p <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Date Requested <br /> Requested By Related Request <br /> Agency <br /> Initiated From <br /> Utility Locate (USA) No Called Date Expiration Date <br /> Assignment Information <br /> - Dept Priority Estimated Hours <br /> rrew <br /> ' Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Ro�te Route Sequence <br /> Comments <br /> Action Taken NEPTUNE M�:TER#1831858997 INSTALLED ON.4"SERVICE SIZE.BACKFLOW#V27503. <br /> Recommended Action <br /> Approved By wo� WEAVER,DEAN L. JOb COS�IflfOffllBtlOf1(YIN) <br /> Start Date r � Time Date Completed snnzo�� Permit No <br /> Completed 8y Time Follow Up? <br />