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Service Request <br />Requestlnformation <br />Request No 00061703 Date 811 412 0 0 9 Time �o:za ,. Status PR <br />Recorded By MBR MOSS, BRIAN R. <br />Billing Code <br />Customer Information <br />Customer Name BRIEN, JERRY <br />Address 8811 4iH PL SE <br />Apartment No City <br />Phone No (425 ) 355•932J Ext <br />E-Mai� Address <br />Problem Information <br />Address 8811 Street 4TH PL SE <br />From Cross Street ee7H S7 5E <br />Initiated From PUBLIC PUBLIC <br />Customer ld <br />Zip <br />Second Phone ( ) <br />To Cross Street <br />Page 1 <br />s/ia/zoo9 io:3a <br />City Subdivision <br />Problem Details SINKHOLE 7" WIDE ON WEST SIDE Of CROSSWALK AT 88TH ST SE AND 4TH PL SE <br />Problem SEWER SFWER <br />Sub Problem <br />Down Date Down Time <br />Assignment {.:formation <br />Assigned To AGA AHLES, GREGJRY A. <br />Responded Date Responded Time <br />Left Dale Le(t Time <br />Work Order No.�p�9�a� <br />Action Taken <br />Completed By: � ,�tiJ o � � <br />Logged By <br />Date: I 1 <br />Ext <br />G—� — / C) <br />