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Faae 1 <br /> Service Request ,,,,�,Z�„ 1,: 1, <br /> Request Informatiun <br /> Request No 0013453A Date ensrzo�a Time oe:ss Status c� <br /> Recorded By S� SORGEN,ROBERT A. <br /> Billing Code <br /> Customer Information <br /> CUStOfT1P,f N0fT18 GORGJN,ELIZABETH CUStOfl1@f Id <br /> AddfeSS 1805 LOMBARD AVE <br /> Apartrnent No Clty EVERETT ZIP 96201 <br /> Phone No (425 � 239•6478 Ext Second Phone ( } Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 1906 Street HOYT AVE <br /> From Cross Street To Cross Street <br /> Initiated From PUPLIC PUBLIC <br /> City Subdivision <br /> Problem Details UNEVEN SIDEWALK,OWNER WANTS SIDEWALK REPLACED AFTER TREE IS REMOV:D <br /> Problem STREET STREETS <br /> Sub Problem SDWK SIDEWALKS <br /> Down Date Down Time <br /> Assignment Information <br /> Assigned To SR4 SORGEN,ROBERTA. <br /> Responded Date 911s12o14 Responded Time <br /> Left Date Left Time <br /> Work Order No. 2005038� <br /> Action Taken �ic, toi2aizota <br /> FORNi,10131,1110312014 <br /> POUR, 1110512014 <br /> BACKFILl,1 111 212 01 4 <br /> Completed By: mKc2 MCAULIFFE, KERRYNC. DBte: 1111212014 <br /> Logged By SRA SORGEN, ROBERT A. <br />