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Service Request <br />Requestlnformation <br />Request No 00104991 Date val2ot2 Time 06:34 <br />Recorded By HSR HOFFMAN, STEVEN R. <br />Billing Code <br />Customer Information <br />Customer Name BREKHUS, DENNIS <br />Address <br />Apartment No City <br />Phone No ( ) Ext <br />E-Mail Address <br />Problem Information <br />Address 3609 Street 25TH ST <br />From Cross Street <br />Initiated From PUBLIC PUBLIC <br />Status PR <br />Customer ld <br />Zip <br />Second Phone ( ) <br />To Cross Street <br />City Subdivision <br />Problem Details REPORTS SINKHOLE IN ALLEY AT THIS ADDRESS LOCATION. <br />Problem SEWER SEWER <br />Sub Problem <br />Down Date Down Time <br />Assignment Information <br />Assigned To AGA AHLES, GREGORY A. <br />Responded Date Responded Time <br />Left Date Left Time <br />Work Order No. �G�,�LG� � C� <br />Action Taken 1103H2O826 NOTIFIED 75 1HSR <br />Completed By: �'� I (,� � � <br />Logged By 1 <br />Page 1 <br />i�4�zoi2 s:3� <br />Date: � � <br />Ext <br />�" � l7- �,�z <br />