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Service Request _,�,� �-Gs� � _�� <br /> Request Information <br /> Request No oot29912 Date 51512ota Time ts:2z Status CL <br /> Recorded By S� SORGEN,ROBERT A. <br /> Billing Code <br /> Customer Information <br /> Customer Name LORING,GINA Customer ld <br /> AddfeSS 1807 COLBYAVE <br /> Apartment No City Z�p <br /> Phone No (azs ) 346•�9t2 Ext Second Phone ( ) Ext <br /> E-Mail Address <br /> Problem Information <br /> Address tao7 Street COLBYAVE <br /> From Cross Street To Cross Street <br /> Initiated Ffom PUBLIC PUBLIC <br /> City Subdivision <br /> Problem Details UNEVEN SIDEWALK,OWNER WANTS SIDEINALK REPLACED <br /> Problem STREET STREETS <br /> Sub Problem SDWK SIDEWALKS <br /> Down Date Down Time <br /> Assignment Information <br /> Assigned To SRA SORGEN,ROBERTA. <br /> Responded Date si5no14 Responded Time <br /> Left Date Left Time <br /> Work Order No. zoo5o3e7 <br /> Action Taken DIG,05109f2014,FORM,0 511 2-1 412 0 1 4,POUR,OSH612014,BACKFILL,0512012014 <br /> Completed By: VAL VANPUTTEN,AARON L. DBfe: SH912014 <br /> Logged By SRA SORGEN,ROBERT A. <br />