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Page 1 <br /> Service Request �z;ze;2004 10:16 <br /> Request Information <br /> RequestNo 000aseos Date iz/ze/zooa T�eio:ia <br /> RCCOI'dP.d Bv WTE WESTVANG, TERRY E. StSLllS �p <br /> Depaztrnr:,t <br /> Ini;iated From PUBLIC PUBI.IC <br /> Billing Code <br /> Customer Information <br /> First Name L7S�NBIIICANNON <br /> Address 2721 FOREST DR <br /> Building Apartment No <br /> (,'j(�r EVERETT Zjp <br /> Phone ( ) Ext Alternate Phone ( ) Ext <br /> Problem Intormation <br /> Address z�zi +edRss�Da ��/?EST lll�W �iQ <br /> Cross Street <br /> CItY EVERETT <br /> Problem Details LOCATE <br /> Pro�lem WATER WATER <br /> Sub Problem ,�G�j���' �� G U��,�� <br /> Down Date Down Time <br /> Assignment Information <br /> Serviced By Rcx aose, CECIL R. <br /> Dispatched By WTE WESTVANG, TERRY E. <br /> RespondedDate�y .�i��/X� RespondedTime <br /> Work O:der No <br /> Activity Information <br /> Completed By i�/lj <br /> Completed Date l y�i�����f <br /> Action Taken <br /> User Defioed � y ` <br /> �r� z� /i� � �5,..�,�`l/,�,p �� ..�.- 1'`�1`'"`i `�,'j""` B <br /> ���U-�� -t-�s� �v�-o y <br /> , <br />