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Service Request <br />Requr.st Information <br />Request No 000��soz Date 2na�2or,s Time 10:34 <br />Recorded By HSR HOFFM�N, STEVEN R. <br />Billing Code <br />Customer Information <br />Cuslomer Name PILCHUCK CONTRACTING <br />Address <br />Apartment No City <br />Phone No ( ) Exl <br />E-Mail Address <br />Problem Information <br />AdClf@SS 5921 SYf�6l LOWELL KD <br />Frorn Cross Street <br />Initiated From PUBLIC PUBLIC <br />Status PR <br />Customer ld suE <br />Zip <br />Second Phone ( ) <br />Ciky Subdivision <br />Problem Details CONTRACTOR NICKED SERVICE LINE <br />Problem WATER WATER <br />Sub Problem �.n�-� <br />Dowi� Date Down Time <br />Assignment Information <br />Assigned To TDE1 THOMPSON, DWAYNE E. <br />Responded Date znalzoos Responded Time <br />Left Date Left Time <br />Work Order No. <br />Action Taken re�ra; r r�) Po� � srr���� <br />To Cross Street <br />zi���i1�,�,: ��,::; <br />Ext <br />Completed By: /.���,v Dat.e: 2 �l�It�� <br />Logged By ���'� <br />